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1386769255
SARAH CROCKETT
EAST ALTON, IL
NPI
1386769255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2005013219)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
SARAH CROCKETT COTAL
8 CARMELITA DRIVE
EAST ALTON, IL 62024
Phone number: 618-259-3218
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Mailing Address
SARAH CROCKETT COTAL
8 CARMELITA DR
EAST ALTON, IL 62024-1817
Phone number:
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