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1922397595
RICHARD PAUL VANA
LANSING, IL
NPI
1922397595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057001156)
Enumeration Date
2011-04-04
Last Update Date
2011-04-04
Business Address
-- RICHARD PAUL VANA COTA/L
18318 EXCHANGE AVE
LANSING, IL 60438-2964
Phone number: 708-895-8173
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Mailing Address
-- RICHARD PAUL VANA COTA/L
18318 EXCHANGE AVE 1B
LANSING, IL 60438-2964
Phone number: 708-895-8173
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