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Individual

BREANNE DRISCOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC., LMT

Contact information

Practice address
153 S LORRAINE RD, WHEATON, IL 60187-5866
(630) 788-9750
Mailing address
153 S LORRAINE RD, WHEATON, IL 60187-5866
(630) 788-9750

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001355
IL
225700000X
Massage Therapist
227.012505
IL

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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