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1518624055
LIBBY CHANEL CAMPBELL
SPRINGFIELD, IL
NPI
1518624055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057005444)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
Mrs. LIBBY CHANEL CAMPBELL COTA
4101 W ILES AVE
SPRINGFIELD, IL 62711-7051
Phone number: 217-793-9429
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Mailing Address
Mrs. LIBBY CHANEL CAMPBELL COTA
4101 W ILES AVE
SPRINGFIELD, IL 62711-7051
Phone number: 217-823-4099
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