ALLIE MCKENZIE MELVIN

MOUNT VERNON, IL
NPI1891414520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005858)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
ALLIE MCKENZIE MELVIN COTA
1700 WHITE ST
MOUNT VERNON, IL 62864-4349
Phone number: 618-242-4075
Mailing Address
ALLIE MCKENZIE MELVIN COTA
533 S MADISON ST
DU QUOIN, IL 62832-2432
Phone number: 618-242-4075
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