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1497279848
BROOKE ALISA OSMAN
MARION, IL
NPI
1497279848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043122198)
Enumeration Date
2017-07-27
Last Update Date
2017-07-27
Business Address
BROOKE ALISA OSMAN LPN
11531 SUNDERLAND ROAD
MARION, IL 62959
Phone number: 618-964-5139
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Mailing Address
BROOKE ALISA OSMAN LPN
311 CIRCLE DR
CREAL SPRINGS, IL 62922-3872
Phone number: 618-964-4166
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