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1770842700
LARRY BRACKENBURY
PINE CITY, MN
NPI
1770842700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
MR. LARRY BRACKENBURY
810 8TH ST SW
PINE CITY, MN 55063-2037
Phone number: 320-629-3730
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Mailing Address
MR. LARRY BRACKENBURY
810 8TH ST SW
PINE CITY, MN 55063-2037
Phone number: 320-629-3730
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