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1972261931
DERICK X BROWNE
MISHAWAKA, IN
NPI
1972261931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT20901876)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
DERICK X BROWNE CMT
229 RED COACH DR STE 106
MISHAWAKA, IN 46545-3195
Phone number: 574-318-7800
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Mailing Address
DERICK X BROWNE CMT
229 RED COACH DR STE 106
MISHAWAKA, IN 46545-3195
Phone number: 574-318-7800
Copy
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