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1770157489
TIMOTHY SAMET
EDWARDSVILLE, IL
NPI
1770157489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057003485)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
TIMOTHY SAMET
1111 UNIVERSITY DR
EDWARDSVILLE, IL 62025-5589
Phone number: 618-692-2273
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Mailing Address
TIMOTHY SAMET
4 CHURCHILL CT
EDWARDSVILLE, IL 62025-3156
Phone number: 414-758-0437
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