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Individual

MAKINZE DC COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 UNIVERSITY ST, CARLINVILLE, IL 62626-9600
(217) 854-4433
Mailing address
30940 FOUR CORNER RD, PALMYRA, IL 62674-4506
(217) 416-5929

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005161
IL

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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