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1811465420
BROOKE MCKENZIE SOUTHERLAND
EUCLID, OH
NPI
1811465420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50.006624)
Enumeration Date
2018-11-13
Last Update Date
2020-10-12
Business Address
BROOKE MCKENZIE SOUTHERLAND PA-C, MPAS
18901 LAKE SHORE BLVD
EUCLID, OH 44119-1078
Phone number: 216-531-9000
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Mailing Address
BROOKE MCKENZIE SOUTHERLAND PA-C, MPAS
1990 LAYTON RD
FOWLERVILLE, MI 48836-8984
Phone number: 517-672-9113
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