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Individual

JOANNA GRACE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7311 STATE HIGHWAY 2 W, DEFUNIAK SPRINGS, FL 32433-5890
(850) 240-2012
Mailing address
7311 STATE HIGHWAY 2 W, DEFUNIAK SPRINGS, FL 32433-5890
(850) 240-2012

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5231663
FL

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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