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1053762005
CHARLES BROWN
CHULA VISTA, CA
NPI
1053762005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA F06161371)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- CHARLES BROWN
751 MEDICAL CENTER CT
CHULA VISTA, CA 91911-6617
Phone number: 760-201-6752
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Mailing Address
-- CHARLES BROWN
3410 FIR ST
SAN DIEGO, CA 92104-5706
Phone number: 760-201-6752
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