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1407675531
BROOKE ALEXIS HAILSTON
OSWEGO, NY
NPI
1407675531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 029562)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
MISS BROOKE ALEXIS HAILSTON OTR/L
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
MISS BROOKE ALEXIS HAILSTON OTR/L
39 DAVIS ST APT F
PHOENIX, NY 13135-2045
Phone number: 607-316-4004
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