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1477797017
RUSSELL JOSEPH BROFER
ARLINGTON, TX
NPI
1477797017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX k2856)
Enumeration Date
2009-04-27
Last Update Date
2012-09-07
Business Address
-- RUSSELL JOSEPH BROFER D.O.
5405 S COOPER ST
ARLINGTON, TX 76017-6148
Phone number: 817-465-4928
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Mailing Address
-- RUSSELL JOSEPH BROFER D.O.
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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