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Individual

MRS. CARMEN E AGUIRRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007333
IL
314000000X
Skilled Nursing Facility
056007333
IL

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
Update your record

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