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1962928838
ALLISON JUNE WINGATE
NORMAL, IL
NPI
1962928838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004771)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
ALLISON JUNE WINGATE COTA/L
1503 DUBLIN DR
NORMAL, IL 61761-5430
Phone number: 309-846-8281
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Mailing Address
ALLISON JUNE WINGATE COTA/L
1503 DUBLIN DR
NORMAL, IL 61761-5430
Phone number: 309-846-8281
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