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1942976477
JORDAN MARIE BAKER
MINONK, IL
NPI
1942976477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057005630)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
Miss JORDAN MARIE BAKER COTA/L
201 LOCUST ST
MINONK, IL 61760-1511
Phone number: 309-432-2557
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Mailing Address
Miss JORDAN MARIE BAKER COTA/L
530 E 6TH ST
EL PASO, IL 61738-1240
Phone number: 309-310-5513
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