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Individual
CANDY GALE BROWN
Active
Individual
CANDY GALE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., CLS
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW77
FL
246QM0706X
Medical Technologist
TN0028829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340032800
—
FL
Enumeration date
10/03/2006
Last updated
04/30/2011
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