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Individual

MS. MARY R BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
212 MADISON AVE E, MAGNOLIA, NJ 08049-1409
(856) 541-1700
(856) 309-9716
Mailing address
212 MADISON AVE E, MAGNOLIA, NJ 08049-1409
(856) 541-1700
(856) 309-9716

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP00503500
NJ
164W00000X
Licensed Practical Nurse
PN058729L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NP00503500
NJ NURSING LICENSE
NJ
01
PN058729L
PA NURSING LICENSE
PA
Enumeration date
05/03/2007
Last updated
07/08/2007
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