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Individual
EPHESUS BROOKS
Active
Individual
EPHESUS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171W00000X
Contractor
—
NULL
172A00000X
Driver
T67133866
VA
226000000X
Recreational Therapist Assistant
—
NULL
247000000X
Health Information Technician
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
374U00000X
Home Health Aide
—
NULL
Other
Enumeration date
09/26/2023
Last updated
10/06/2023
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