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1932860905
AMBER DOVE EASLEY
MOUNT VERNON, IL
NPI
1932860905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057003883)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
AMBER DOVE EASLEY
1505 TRIANGLE ST
MOUNT VERNON, IL 62864-6046
Phone number: 618-316-2190
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Mailing Address
AMBER DOVE EASLEY
1505 TRIANGLE ST
MOUNT VERNON, IL 62864-6046
Phone number: 618-316-2190
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