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1033356498
PORTIA BROOKS
FORT CAMPBELL, KY
NPI
1033356498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN056022)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
-- PORTIA BROOKS
650 JOEL DR BLANCHFIELD--WPCC
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-0257
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Mailing Address
-- PORTIA BROOKS
650 JOEL DR BLANCHFIELD--WPCC
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-0257
Copy
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