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1194218388
BROOKE MELISSA ALVEY
EDWARDSVILLE, IL
NPI
1194218388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007937)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
BROOKE MELISSA ALVEY
1111 UNIVERSITY DR
EDWARDSVILLE, IL 62025-5589
Phone number: 618-692-2273
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Mailing Address
BROOKE MELISSA ALVEY
11035 EMERALD MOUND GRANGE RD
LEBANON, IL 62254-2329
Phone number:
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