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1225287089
LISA RILEY
MOUNT VERNON, IL
NPI
1225287089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002213)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- LISA RILEY cota/l
208 ZACHERY DR
MOUNT VERNON, IL 62864-6712
Phone number: 618-204-5497
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Mailing Address
-- LISA RILEY cota/l
607 SHORT ST
BLUFORD, IL 62814-1229
Phone number: 618-315-1964
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