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Individual
PHYLLIS ELANA BROWN
Active
Individual
PHYLLIS ELANA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
ANCC-0021755
MD
363L00000X
Nurse Practitioner
Primary
R068465
MD
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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