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Individual
MILLIE BRABHAM
Active
Individual
MILLIE BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
236755
GA
363LF0000X
Family Nurse Practitioner
Primary
236755
GA
Other
Enumeration date
02/26/2021
Last updated
07/28/2021
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