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1285883579
SHANNON GEISELL ISADORE
ROCK ISLAND, IL
NPI
1285883579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057002738)
Enumeration Date
2008-09-11
Last Update Date
2010-08-12
Business Address
Ms. SHANNON GEISELL ISADORE COTA/L
2545 24TH ST
ROCK ISLAND, IL 61201-5305
Phone number: 309-786-2527
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Mailing Address
Ms. SHANNON GEISELL ISADORE COTA/L
1421 W SMITH ST
PEORIA, IL 61605-1948
Phone number: 309-472-4575
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