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Individual
JENNIFER J BROWN
Active
Individual
JENNIFER J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
959415
RD
—
01
—
L003140
LIC
NC
Enumeration date
03/18/2008
Last updated
03/18/2008
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