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Brooklyn Elizabeth Keaton

Student in an Organized Health Care Education/Training Program in West Jefferson, OH. Individual provider (NPI-1).

NPI number1033674635
StatusActive
Last updated in NPPESFeb 7, 2019

Details

NPI
1033674635
Entity type
Individual (NPI-1)
Name
Brooklyn Elizabeth Keaton
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2019
Last updated
Feb 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

8795 Thomas Ln
West Jefferson, OH 43162-9760

Phone 614-378-0374

Mailing address

8795 Thomas Ln
West Jefferson, OH 43162-9760

Phone 614-378-0374

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