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1649949033
KARSEN ELAINE FUSSNER
PEKIN, IL
NPI
1649949033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005628)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
KARSEN ELAINE FUSSNER COTA/L
2220 STATE ST
PEKIN, IL 61554-3937
Phone number: 309-347-1110
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Mailing Address
KARSEN ELAINE FUSSNER COTA/L
4717 N KNOXVILLE AVE APT 324
PEORIA, IL 61614-6137
Phone number: 309-712-6211
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