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Individual
SONORA TALMADGE
Active
Individual
SONORA TALMADGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003785
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS
IL
Enumeration date
05/27/2010
Last updated
03/04/2022
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