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1730660887
JAMIE LYNN BLOUGH
AURORA, IL
NPI
1730660887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005001)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
JAMIE LYNN BLOUGH COTA/L
600 N COMMONS DR STE 102
AURORA, IL 60504-4155
Phone number: 708-478-1820
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Mailing Address
JAMIE LYNN BLOUGH COTA/L
419 MADISON ST
LOCKPORT, IL 60441-3065
Phone number: 815-715-0026
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