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1740613397
BROOKE ELIZABETH PRINE
MCCONNELL AFB, KS
NPI
1740613397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- BROOKE ELIZABETH PRINE IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3506
Phone number: 316-759-5116
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Mailing Address
-- BROOKE ELIZABETH PRINE IDMT
407 E STONE PATH ST
DERBY, KS 67037-9395
Phone number: 937-430-4451
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