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1619482742
CHAIRO SHAFFER
EDWARDSVILLE, IL
NPI
1619482742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004686)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
-- CHAIRO SHAFFER COTA/L
1111 UNIVERSITY DR
EDWARDSVILLE, IL 62025-5589
Phone number: 618-692-2273
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Mailing Address
-- CHAIRO SHAFFER COTA/L
810 HOLYOAKE RD
EDWARDSVILLE, IL 62025-2315
Phone number: 618-980-3696
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