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1336607571
JEFFRE KATHERINE YOUNGBLOOD
CHICAGO, IL
NPI
1336607571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005100)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
JEFFRE KATHERINE YOUNGBLOOD COTA/L
3406 W BERTEAU AVE APT 1
CHICAGO, IL 60618-2208
Phone number: 843-860-0151
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Mailing Address
JEFFRE KATHERINE YOUNGBLOOD COTA/L
3406 W BERTEAU AVE APT 1
CHICAGO, IL 60618-2208
Phone number:
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