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1588185714
DOMINIQUE J BROWN
JACKSON, TN
NPI
1588185714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000001877)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
DOMINIQUE J BROWN MS, LAT, ATC
545 LANE AVE
JACKSON, TN 38301-4501
Phone number: 731-425-7668
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Mailing Address
DOMINIQUE J BROWN MS, LAT, ATC
213 TRACE DR
JACKSON, TN 38305-1580
Phone number:
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