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1487149522
JADE M BRAKE
OTTAWA, KS
NPI
1487149522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: KS 2851)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
JADE M BRAKE TLMLP
2537 EISENHOWER RD
OTTAWA, KS 66067-9482
Phone number: 785-242-3780
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Mailing Address
JADE M BRAKE TLMLP
PO BOX 677
OTTAWA, KS 66067-0677
Phone number: 785-242-3780
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