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Daniel Brown
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1750165973

Daniel Brown is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Daniel Brown practices in Peoria, IL. The NPI Number for Daniel Brown is 1750165973 and holds a License No. (Illinois).

The current practice location address for Daniel Brown is 5620 N Mar Vista Dr, Peoria, IL and can be reached out via phone at 207-692-3969.

Location: 5620 N Mar Vista Dr, Peoria, IL, 61614-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750165973
Provider Name
Daniel Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
5620 N Mar Vista Dr, Peoria, IL, 61614-3847
Phone Number
207-692-3969
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5620 N Mar Vista Dr
City
Peoria
State
Illinois
Zip
61614-3847
Phone Number
207-692-3969
Fax Number
person
Provider Business Mailing Address Details
Address
5620 N Mar Vista Dr
City
Peoria
State
Illinois
Zip
61614-3847
Phone Number
207-692-3969
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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