GENE L EDWARDS

ALTON, IL
NPI1316175631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003065)
Enumeration Date2009-06-25
Last Update Date2009-06-25
Business Address
-- GENE L EDWARDS
410 E 12TH ST
ALTON, IL 62002-7229
Phone number: 618-980-9151
Mailing Address
-- GENE L EDWARDS
410 E 12TH ST
ALTON, IL 62002-7229
Phone number: 618-980-9151
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