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1629167226
LOUIS RUSSELL BRANDAU
MOBILE, AL
NPI
1629167226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 4356)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. LOUIS RUSSELL BRANDAU DMD
7053 PROVIDENCE PARK DR S
MOBILE, AL 36695-4621
Phone number: 251-635-1892
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Mailing Address
Dr. LOUIS RUSSELL BRANDAU DMD
7053 PROVIDENCE PARK DR S
MOBILE, AL 36695-4621
Phone number: 251-635-1892
Copy
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