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1619142056
CARLA VERONICA STURDIVANT
PEORIA, IL
NPI
1619142056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.001539)
Enumeration Date
2008-04-27
Last Update Date
2008-04-27
Business Address
Miss CARLA VERONICA STURDIVANT COTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
Miss CARLA VERONICA STURDIVANT COTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number:
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