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Individual

MR. RANDY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L..M.T.

Contact information

Practice address
2190 WAPAKONETA AVE, SIDNEY, OH 45365
(937) 726-0068
(937) 493-0468
Mailing address
9555 CR RD 25A NORTH, SIDNEY, OH 45365
(937) 726-0068
(937) 493-0468

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
9015
OH

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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