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Individual

NATHAN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 DAVENPORT, ITALY, TX 76651-3592
(000) 000-0000
Mailing address
229 GOLDENROD AVE, VICTORIA, TX 77904-2525

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063316
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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