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Brooke Buckingham

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

NPI number1982309878
StatusActive
Last updated in NPPESMar 23, 2024

Details

NPI
1982309878
Entity type
Individual (NPI-1)
Name
Brooke Buckingham
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2023
Certification date
Mar 21, 2024
Last updated
Mar 23, 2024

Taxonomy and licenses

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

Practice location

2533 W Village Dr
Toledo, OH 43614-4751

Phone 574-333-6086

Mailing address

820 S Wood St Ste 100
Chicago, IL 60612-4325

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