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Individual

LATAI EBRETTE GRANT BROWN

Active
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Individual

LATAI EBRETTE GRANT BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
42518
OK
2084N0400X
Neurology Physician
Primary
C165239
CA
2084N0400X
Neurology Physician
MD0000039391
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01873878
MS
Enumeration date
06/21/2006
Last updated
12/04/2025
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