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1962087775
KAYELENE PAIGE GOODBEAR
SPRINGFIELD, IL
NPI
1962087775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057005488)
Enumeration Date
2021-03-12
Last Update Date
2021-03-12
Business Address
KAYELENE PAIGE GOODBEAR COTA/L
2508 SAINT JAMES RD
SPRINGFIELD, IL 62707-9736
Phone number: 217-747-5901
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Mailing Address
KAYELENE PAIGE GOODBEAR COTA/L
PO BOX 693
LOVINGTON, IL 61937-0693
Phone number: 217-412-9452
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