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1649975061
BROOKE LYNN SALAHUDDIN
CHAMPAIGN, IL
NPI
1649975061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005492)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
BROOKE LYNN SALAHUDDIN COTA/L
1212 DORIE MILLER DR
CHAMPAIGN, IL 61820-2421
Phone number: 217-418-6559
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Mailing Address
BROOKE LYNN SALAHUDDIN COTA/L
1212 DORIE MILLER DR
CHAMPAIGN, IL 61820-2421
Phone number: 217-418-6559
Copy
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