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Individual
GREGG BROWN
Active
Individual
GREGG BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013397157
NA
CA
Enumeration date
06/03/2015
Last updated
08/26/2015
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