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1407002140
PATRICIA KAY BOLIN
HUMBOLDT, IL
NPI
1407002140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057001183)
Enumeration Date
2008-08-13
Last Update Date
2008-12-03
Business Address
Ms. PATRICIA KAY BOLIN COTA/L
1918 COMMERCIAL ST
HUMBOLDT, IL 61931-7805
Phone number: 217-856-2292
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Mailing Address
Ms. PATRICIA KAY BOLIN COTA/L
1918 COMMERCIAL ST
HUMBOLDT, IL 61931-7805
Phone number: 217-856-2292
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