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1205408879
BREANNA LUECKING
MOUNT VERNON, IL
NPI
1205408879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
BREANNA LUECKING
208 ZACHERY DR
MOUNT VERNON, IL 62864-6712
Phone number: 618-731-4007
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Mailing Address
BREANNA LUECKING
672 WOODS LN
CENTRALIA, IL 62801-4966
Phone number:
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