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1861979551
DEIDRA BROWN
CLARKSVILLE, TN
NPI
1861979551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1364)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
DEIDRA BROWN Athletic trainer
141 HILLCREST DR
CLARKSVILLE, TN 37043-5088
Phone number: 931-552-4340
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Mailing Address
DEIDRA BROWN Athletic trainer
1060 W CREEK COYOTE TRL APT 1904
CLARKSVILLE, TN 37042-8269
Phone number: 931-801-0639
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