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1013003557
MITCHELL BRIAN BROOKS
FT POLK, LA
NPI
1013003557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
MR. MITCHELL BRIAN BROOKS PA
1585 3RD STREET
FT POLK, LA 71459
Phone number: 337-531-3919
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Mailing Address
MR. MITCHELL BRIAN BROOKS PA
9 KATHERINE LOOP
LEESVILLE, LA 71446
Phone number: 573-452-3055
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