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1508905084
JOSEPH MICHAEL HOUSTON
SPRINGFIELD, IL
NPI
1508905084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
MR. JOSEPH MICHAEL HOUSTON COTAL
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3300
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Mailing Address
MR. JOSEPH MICHAEL HOUSTON COTAL
6301 N WALNUT STREET RD
SPRINGFIELD, IL 62707-7635
Phone number: 217-487-7183
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