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1851869929
SAMANTHA BLIMLING
JACKSONVILLE, IL
NPI
1851869929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005053)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
SAMANTHA BLIMLING COTA/L
873 GROVE ST
JACKSONVILLE, IL 62650-2828
Phone number: 217-479-3400
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Mailing Address
SAMANTHA BLIMLING COTA/L
751 MASSEY LN
MURRAYVILLE, IL 62668-8166
Phone number: 217-490-0467
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