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Individual

BARBARA J BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DIETICIAN

Contact information

Practice address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
(618) 443-1383
Mailing address
818 E BROADWAY ST, PO BOX 297, SPARTA, IL 62286-1820
(618) 443-2177
(618) 443-1383

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000738
IL

Other

Enumeration date
10/23/2008
Last updated
10/23/2008
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