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1558527622
TAMARA SUE PRUETZEL
SPRINGFIELD, IL
NPI
1558527622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002499)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
TAMARA SUE PRUETZEL COTA/L
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711-7917
Phone number: 217-787-9600
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Mailing Address
TAMARA SUE PRUETZEL COTA/L
2118 E BUCHANAN ST
SPRINGFIELD, IL 62703-4906
Phone number: 217-529-0656
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