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1326342874
LAWRENCE K LONGBRAKE
PARKER, AZ
NPI
1326342874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OH RN307375)
Enumeration Date
2010-12-26
Last Update Date
2010-12-26
Business Address
-- LAWRENCE K LONGBRAKE RN
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
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Mailing Address
-- LAWRENCE K LONGBRAKE RN
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
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