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1447586979
JUAN F PARDO
DECATUR, IL
NPI
1447586979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057000919)
Enumeration Date
2009-10-17
Last Update Date
2009-10-17
Business Address
Mr. JUAN F PARDO COTA/L
444 W HARRISON AVE
DECATUR, IL 62526-4157
Phone number: 217-877-7333
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Mailing Address
Mr. JUAN F PARDO COTA/L
113 PEBBLE BEACH DR
SPRINGFIELD, IL 62704-3151
Phone number: 217-787-3495
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