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1093540221
DEONTAE BROWN BARNUM
PHILADELPHIA, PA
NPI
1093540221
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Professional Name
TAE BROWN BARNUM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: PA 20784)
Enumeration Date
2024-09-06
Last Update Date
2024-09-10
Business Address
DEONTAE BROWN BARNUM CCHW
1348 BAINBRIDGE ST FL 2
PHILADELPHIA, PA 19147-1810
Phone number: 267-389-3021
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Mailing Address
DEONTAE BROWN BARNUM CCHW
1348 BAINBRIDGE ST FL 2
PHILADELPHIA, PA 19147-1810
Phone number: 267-467-6934
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