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1972162477
DEANNA L CANNON
DANVILLE, IL
NPI
1972162477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004999)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
DEANNA L CANNON
3222 INDEPENDENCE DR
DANVILLE, IL 61832-7919
Phone number: 217-431-1600
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Mailing Address
DEANNA L CANNON
1604 S MAPLE ST
URBANA, IL 61801-5127
Phone number: 217-480-5551
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