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1700107406
MADENA WHITESELL
MINONK, IL
NPI
1700107406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057001032)
Enumeration Date
2010-06-16
Last Update Date
2010-06-16
Business Address
-- MADENA WHITESELL COTA
201 LOCUST ST
MINONK, IL 61760-1511
Phone number: 309-432-2557
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Mailing Address
-- MADENA WHITESELL COTA
550 FRONTAGE RD SUITE 2415
NORTHFIELD, IL 60093-1202
Phone number: 847-441-5593
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