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1114307311
JAYDA BRINK
CARBONDALE, IL
NPI
1114307311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- JAYDA BRINK
800 E GRAND AVE APT. 40B
CARBONDALE, IL 62901-3509
Phone number: 618-314-2607
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Mailing Address
-- JAYDA BRINK
800 E GRAND AVE APT. 40B
CARBONDALE, IL 62901-3509
Phone number: 618-314-2607
Copy
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