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1669984647
DANA LYNN WHITLOCK
SPRINGFIELD, IL
NPI
1669984647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057003055)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
DANA LYNN WHITLOCK COTA/L
2120 W WASHINGTON ST
SPRINGFIELD, IL 62702-4630
Phone number: 217-793-4880
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Mailing Address
DANA LYNN WHITLOCK COTA/L
1746 W HOMEWOOD AVE
SPRINGFIELD, IL 62704-4854
Phone number: 217-341-8110
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