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Individual

MARJORIE NICOLE HARVILL-BROOKS

Active
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Individual

MARJORIE NICOLE HARVILL-BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO154075
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
DO154075
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500634857
MEDICAID
OR
Enumeration date
05/06/2006
Last updated
03/15/2021
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