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Individual
JOHN P BRIMLOW
Active
Individual
JOHN P BRIMLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OPA10060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067130
—
CA
01
—
ZZZ28485Z
BLUE SHIELD
CA
Enumeration date
11/17/2005
Last updated
07/13/2026
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