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Individual

DANE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647
(855) 777-8362
Mailing address
6 BRIGHTON RD, CLIFTON, NJ 07012-1647

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00187100
NJ

Other

Enumeration date
04/18/2014
Last updated
04/18/2014
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