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1235485764
MARY ELLEN SANDRIN
EDWARDSVILLE, IL
NPI
1235485764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.001907)
Enumeration Date
2012-08-02
Last Update Date
2012-08-02
Business Address
Ms. MARY ELLEN SANDRIN COTA
401 SAINT MARYS DR
EDWARDSVILLE, IL 62025-4276
Phone number: 618-692-1330
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Mailing Address
Ms. MARY ELLEN SANDRIN COTA
3801 OLD BRUCEVILLE RD
VINCENNES, IN 47591-3889
Phone number: 812-886-4677
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