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Individual

DEMARCO SHONTEZ BROWNLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 HAIRPIN DR, EDWARDSVILLE, IL 62026-0001
(618) 650-3956
Mailing address
1 HAIRPIN DR, EDWARDSVILLE, IL 62026-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.033420
IL

Other

Enumeration date
05/23/2024
Last updated
01/07/2026
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