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1134778061
LAINE BROWN
FRESNO, CA
NPI
1134778061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
LAINE BROWN
1620 E BULLDOG LN
FRESNO, CA 93710
Phone number: 559-278-4170
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Mailing Address
LAINE BROWN
120 E MALLARD DR APT 118
BOISE, ID 83706-3986
Phone number: 559-707-4098
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