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1588169825
JESSICA FREDERICK
AURORA, IL
NPI
1588169825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004301)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
JESSICA FREDERICK COTA/L
600 N COMMONS DR
AURORA, IL 60504-4154
Phone number: 708-478-1820
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Mailing Address
JESSICA FREDERICK COTA/L
6 S. 270 4TH ST.
EOLA, IL 60519
Phone number: 630-205-7415
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