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1700083839
IVETTE SANDOVAL
CHICAGO, IL
NPI
1700083839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002597)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- IVETTE SANDOVAL COTA
550 W WEBSTER AVE
CHICAGO, IL 60614-3965
Phone number: 773-883-3860
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Mailing Address
-- IVETTE SANDOVAL COTA
815 N WASHTENAW AVE
CHICAGO, IL 60622-4430
Phone number:
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