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Individual
MRS. STEPHANIE T BREWER
Active
Individual
MRS. STEPHANIE T BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0848
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096165
—
NH
01
—
P00940089
RAILROAD MEDICARE
MA
01
—
P01087925
RAILROAD MEDICARE
NH
Enumeration date
12/21/2010
Last updated
07/17/2015
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