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Individual

KOREN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12 SHADELAND AVE, PLEASANTVILLE, NJ 08232-3622
(609) 813-1121
Mailing address
12 SHADELAND AVE, PLEASANTVILLE, NJ 08232-3622
(609) 813-1121

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
NJ
376J00000X
Homemaker
Primary
NJ

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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