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1649399239
GAYLA J NICKEL
SPRINGFIELD, IL
NPI
1649399239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002789)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- GAYLA J NICKEL COTA
3132 OLD JACKSONVILLE RD SUITE 140
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0400
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Mailing Address
-- GAYLA J NICKEL COTA
2567 MARTHAS LN
ASHLAND, IL 62612-8081
Phone number: 217-862-0400
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