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Individual
PAUL CONRAD BROOKS
Active
Individual
PAUL CONRAD BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR853
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014273
ANTHEM
ME
01
—
620156301
CIGNA
ME
Enumeration date
02/12/2007
Last updated
10/29/2012
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