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1669132643
KATY ROSE WANNER
GLENVIEW, IL
NPI
1669132643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005261)
Enumeration Date
2021-12-18
Last Update Date
2021-12-18
Business Address
KATY ROSE WANNER
2500 INDIGO LN
GLENVIEW, IL 60026-7797
Phone number: 888-960-8754
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Mailing Address
KATY ROSE WANNER
11400 197TH ST
MOKENA, IL 60448-1259
Phone number: 708-738-1802
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