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1992312631
AGNIESZKA WANDA BIS
STREAMWOOD, IL
NPI
1992312631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002843)
Enumeration Date
2020-09-27
Last Update Date
2020-09-27
Business Address
AGNIESZKA WANDA BIS COTA/ L
110 W SCHAUMBURG RD
STREAMWOOD, IL 60107-1459
Phone number: 630-444-7087
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Mailing Address
AGNIESZKA WANDA BIS COTA/ L
550 FREDERICK LN
HOFFMAN ESTATES, IL 60169-4813
Phone number: 773-965-0030
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