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1700943800
BRYAN BRAZELLE
MADISON, AL
NPI
1700943800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH2001)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- BRYAN BRAZELLE
30630 HWY 72 WEST
MADISON, AL 35756
Phone number: 888-891-9339
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Mailing Address
-- BRYAN BRAZELLE
101 DEVERON CT
MADISON, AL 35758-6232
Phone number:
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