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Individual
MICHENA LUBIN BROOKS
Active
Individual
MICHENA LUBIN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004062-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N004062-1
LISCENSE
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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