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1710077763
SARA E CHICK
MARION, IL
NPI
1710077763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057002444)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Mrs. SARA E CHICK COTAL
2907 WILLIAMSON COUNTY PARKWAY
MARION, IL 62959
Phone number: 618-998-9894
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Mailing Address
Mrs. SARA E CHICK COTAL
215 W POPLAR
WEST FRANKFORT, IL 62896
Phone number: 618-937-1979
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