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1457756272
GRACE-MARIE MARTINA OTTOMANELLI
GENEVA, IL
NPI
1457756272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005311)
Enumeration Date
2014-10-23
Last Update Date
2023-01-16
Business Address
GRACE-MARIE MARTINA OTTOMANELLI PA-C
2425 FARGO BLVD
GENEVA, IL 60134-3591
Phone number: 630-232-2200
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Mailing Address
GRACE-MARIE MARTINA OTTOMANELLI PA-C
2425 FARGO BLVD
GENEVA, IL 60134-3591
Phone number: 630-232-2200
Copy
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