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1306196217
STACEY DIANNE CASAS
GLENVIEW, IL
NPI
1306196217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 057001463)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- STACEY DIANNE CASAS COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
-- STACEY DIANNE CASAS COTA/L
3703 WEST LAKE AVENUE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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