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Individual
HEATHER LYNNE BROWN
Active
Individual
HEATHER LYNNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C 2302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970022986
RAILROAD MEDICARE
MD
Enumeration date
04/17/2006
Last updated
09/22/2015
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