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1225375488
BRANDY J HANSEN
BLOOMINGTON, IL
NPI
1225375488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: 11128253)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
Ms. BRANDY J HANSEN IBCLC
200 W FRONT ST
BLOOMINGTON, IL 61701-5048
Phone number: 309-888-5971
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Mailing Address
Ms. BRANDY J HANSEN IBCLC
200 W FRONT ST
BLOOMINGTON, IL 61701-5048
Phone number: 309-888-5971
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