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1477728194
KELLY JEAN MANSOURI
GLENVIEW, IL
NPI
1477728194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.000587)
Enumeration Date
2008-04-23
Last Update Date
2023-09-06
Business Address
MRS. KELLY JEAN MANSOURI COTA/L
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
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Mailing Address
MRS. KELLY JEAN MANSOURI COTA/L
811 REEF CT
WHEELING, IL 60090-7300
Phone number: 847-459-9755
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