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1235446261
MARY KATHLEEN GORDON
KEWANEE, IL
NPI
1235446261
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Former Name
MARY KATHLEEN SHOOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056009143)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
Mrs. MARY KATHLEEN GORDON OTR/L
1051 W SOUTH ST
KEWANEE, IL 61443-8354
Phone number: 309-852-7931
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Mailing Address
Mrs. MARY KATHLEEN GORDON OTR/L
PO BOX 747
KEWANEE, IL 61443-0747
Phone number: 309-852-7931
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