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Individual
JAMES DAVID BROWN
Active
Individual
JAMES DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11646
MINNESOTA BOARD OF PHYSICAL THERAPY
MN
Enumeration date
08/16/2019
Last updated
08/28/2019
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