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Individual
MISS JENNIFER ANN BROWN
Active
Individual
MISS JENNIFER ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096-001914
IL
2255A2300X
Athletic Trainer
2601001420
MI
2255A2300X
Athletic Trainer
Primary
RTO000409
PA
Other
Enumeration date
03/16/2006
Last updated
08/13/2020
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