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1487654521
GLEN H BROOKSHIRE
ELKHART, IN
NPI
1487654521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 02002322)
Enumeration Date
2005-07-29
Last Update Date
2016-04-05
Business Address
-- GLEN H BROOKSHIRE DO
600 EAST BLVD
ELKHART, IN 46514-2483
Phone number: 574-523-3160
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Mailing Address
-- GLEN H BROOKSHIRE DO
PO BOX 1241
SOUTH BEND, IN 46624-1241
Phone number: 885-691-9888
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