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1134466485
COREY A BROOKS
BELLEVILLE, IL
NPI
1134466485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004575)
Enumeration Date
2013-01-07
Last Update Date
2021-04-08
Business Address
COREY A BROOKS PA-C
180 S 3RD ST STE 104
BELLEVILLE, IL 62220-1952
Phone number: 618-222-4701
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Mailing Address
COREY A BROOKS PA-C
180 S 3RD ST STE 104
BELLEVILLE, IL 62220-1952
Phone number: 618-222-4701
Copy
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