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1952999278
HOLLIE MONTENEGRO
NORMAL, IL
NPI
1952999278
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Professional Name
HOLLIE MONTENEGRO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004143)
Enumeration Date
2021-01-03
Last Update Date
2021-01-03
Business Address
HOLLIE MONTENEGRO CoTA
211 LANDMARK DR STE D3
NORMAL, IL 61761-6107
Phone number: 309-451-5925
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Mailing Address
HOLLIE MONTENEGRO CoTA
811 E MILLER ST
BLOOMINGTON, IL 61701-6845
Phone number: 309-261-9242
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