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1124235445
JOHN DAVID BRABNER
FORT WORTH, TX
NPI
1124235445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JOHN DAVID BRABNER IDC
1711 DOOLITTLE AVE
FORT WORTH, TX 76127-1711
Phone number: 817-782-5959
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Mailing Address
-- JOHN DAVID BRABNER IDC
425 CORNSTUBBLE LN
WEATHERFORD, TX 76088-2258
Phone number: 817-594-0008
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