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Individual
MS. ROXANNE MARIE BROWN
Active
Individual
MS. ROXANNE MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
9083
OR
171W00000X
Contractor
MA00005736
WA
225700000X
Massage Therapist
9083
OR
225700000X
Massage Therapist
Primary
MA00005736
WA
Other
Enumeration date
02/22/2008
Last updated
04/01/2014
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