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Individual
DR. HERBERT LEON BREWER III
Active
Individual
DR. HERBERT LEON BREWER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
88-0441715
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141
PT
MS
01
—
18446
BCBS OF MS
MS
01
—
709
STATE OF MS
MS
Enumeration date
04/16/2009
Last updated
04/16/2009
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