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Individual

KAMILLE DENISE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4050 MCEWEN RD APT 4105, FARMERS BRANCH, TX 75244-5436
(469) 697-2393
Mailing address
4050 MCEWEN RD APT 4105, FARMERS BRANCH, TX 75244-5436
(469) 697-2393

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
HVF8120
TX
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37308298
DRIVERS LICENSE
TX
Enumeration date
01/04/2023
Last updated
01/04/2023
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