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1982013652
ANNA BLANK
WASHINGTON, IL
NPI
1982013652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004089)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- ANNA BLANK COTA/L
97 EASTGATE DR
WASHINGTON, IL 61571-9271
Phone number: 800-773-1682
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Mailing Address
-- ANNA BLANK COTA/L
128 WASHINGTON SQ
WASHINGTON, IL 61571-2657
Phone number: 800-773-1682
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