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1447803507
ISABELLA RUBY SMITH
CHAMPAIGN, IL
NPI
1447803507
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Former Name
ISABELLA RUBY MILHAUSER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004851)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
ISABELLA RUBY SMITH COTA/L
4112 FIELDSTONE RD SUITE B
CHAMPAIGN, IL 61822
Phone number: 888-308-3728
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Mailing Address
ISABELLA RUBY SMITH COTA/L
503 GIANT CITY RD
MONTICELLO, IL 61856-8189
Phone number: 217-454-0612
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