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1093723793
LARRY R BRAZLEY
MERRILLVILLE, IN
NPI
1093723793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: IN 01032396)
Enumeration Date
2006-08-04
Last Update Date
2011-06-07
Business Address
-- LARRY R BRAZLEY MD
255 E 90TH DR W1
MERRILLVILLE, IN 46410-8144
Phone number: 219-791-0248
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Mailing Address
-- LARRY R BRAZLEY MD
55 E 86TH AVE PO BOX 10645
MERRILLVILLE, IN 46410-6382
Phone number: 219-769-1670
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