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Individual

JALYN APRIL SALAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
704 S ILLINOIS ST, GENESEO, IL 61254
(309) 944-6424
Mailing address
4024 N LINWOOD AVE, DAVENPORT, IA 52806
(563) 343-4136

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003940
IL

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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