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1013110568
JUSTIN DAVID BROWN
PERU, IN
NPI
1013110568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010988A)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Dr. JUSTIN DAVID BROWN D.D.S.
5 LOGAN ST
PERU, IN 46970-1642
Phone number: 765-473-9336
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Mailing Address
Dr. JUSTIN DAVID BROWN D.D.S.
366 W 12TH ST
PERU, IN 46970-1549
Phone number: 765-461-5437
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