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Individual

BROOKE PERSHUNNA BROWN-GIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1691 BIENVILLE DR, MONROE, LA 71201-3756
(318) 343-6100
Mailing address
307 KENTUCKY ST, MONROE, LA 71203-3957
(318) 680-6395

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN128458
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN128458
RN LICENSURE
LA
Enumeration date
04/04/2018
Last updated
04/04/2018
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