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Individual

MARANDA GABRIELLE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 390-0535
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
LAT-5371
NC

Other

Enumeration date
02/21/2020
Last updated
09/14/2023
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