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Individual

JENNIFER MARIE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1201 RIVER VALLEY BLVD, LANCASTER, OH 43130-1653
(740) 687-2273
(740) 687-9059
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.001390RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0152965
OH
01
20-1307080
FACILITY TAX ID, V CLEW, LLC
OH
Enumeration date
03/03/2009
Last updated
09/30/2016
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