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Individual
DR. MANON BROOKE MASHBURN
Active
Individual
DR. MANON BROOKE MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD.200800
LA
2084P0800X
Psychiatry Physician
200800
LA
2084P0800X
Psychiatry Physician
Primary
C-172128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03632513
—
LA
05
—
1076112
—
LA
Enumeration date
07/13/2007
Last updated
11/14/2023
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