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1588780787
LYNETTE PETERSON
JOLIET, IL
NPI
1588780787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002593)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- LYNETTE PETERSON COTA
421 DORIS AVE
JOLIET, IL 60433-2569
Phone number: 815-727-8776
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Mailing Address
-- LYNETTE PETERSON COTA
16413 HAROLD ST
OAK FOREST, IL 60452-4203
Phone number: 708-280-3302
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