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1700068624
ROCLIE D HICKS
EAST ALTON, IL
NPI
1700068624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057002599)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
-- ROCLIE D HICKS COTA
604 MONROE ST
EAST ALTON, IL 62024-1251
Phone number: 618-541-4691
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Mailing Address
-- ROCLIE D HICKS COTA
604 MONROE ST
EAST ALTON, IL 62024-1251
Phone number: 618-541-4691
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