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1174090039
DERIONNE BROOKS
UNIVERSITY, MS
NPI
1174090039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0742)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
DERIONNE BROOKS
972 HATHORN ROAD
UNIVERSITY, MS 38655
Phone number: 504-496-1361
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Mailing Address
DERIONNE BROOKS
407 BEAUREGARD CIR
OXFORD, MS 38655-5063
Phone number:
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