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1295142305
NICOLE SMITH
PITTSFIELD, IL
NPI
1295142305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.003551)
Enumeration Date
2014-07-21
Last Update Date
2014-07-21
Business Address
NICOLE SMITH COTA
610 LOWRY ST
PITTSFIELD, IL 62363-1768
Phone number: 217-285-5200
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Mailing Address
NICOLE SMITH COTA
505 MADISON STREET
KANE, IL 62054-0066
Phone number: 217-942-6849
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