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1295106672
JANICE WAGNER
GLENVIEW, IL
NPI
1295106672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002720)
Enumeration Date
2015-10-12
Last Update Date
2015-10-12
Business Address
JANICE WAGNER COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
JANICE WAGNER COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
Copy
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