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Individual

DR. CAROL L BROWN

Active
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Individual

DR. CAROL L BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3926T9
OH
152W00000X
Optometrist
4901003141
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000136272
ANTHEM
OH
01
03068
PARAMOUNT
OH
05
0975253
OH
Enumeration date
05/09/2006
Last updated
02/19/2008
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