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Individual

TANYA MICHELLE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
Mailing address
2317 CLARKE CT, LAKE HAVASU CITY, AZ 86403-3708

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN194442
AZ

Other

Enumeration date
06/30/2017
Last updated
06/30/2017
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