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1770837122
ROSEMARY LYNN TICER
CARBONDALE, IL
NPI
1770837122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.001356)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
-- ROSEMARY LYNN TICER COTA/L
306 W MILL ST
CARBONDALE, IL 62901-2727
Phone number: 618-529-2922
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Mailing Address
-- ROSEMARY LYNN TICER COTA/L
306 W MILL ST
CARBONDALE, IL 62901-2727
Phone number: 618-529-2922
Copy
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