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1073835807
JOHN M BROSE
IRWIN, PA
NPI
1073835807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WV 00000060)
Enumeration Date
2010-02-21
Last Update Date
2010-02-21
Business Address
-- JOHN M BROSE
1012 CICERO DR
IRWIN, PA 15642-6517
Phone number: 724-610-1583
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Mailing Address
-- JOHN M BROSE
1012 CICERO DR
IRWIN, PA 15642-6517
Phone number: 724-610-1583
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