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1801877139
BRAXTER P IRBY
BROOKHAVEN, MS
NPI
1801877139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MS 06205)
Enumeration Date
2005-11-14
Last Update Date
2007-07-08
Business Address
Mr. BRAXTER P IRBY MD
513C BROOKMAN DR
BROOKHAVEN, MS 39601-2326
Phone number: 601-833-3822
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Mailing Address
Mr. BRAXTER P IRBY MD
513C BROOKMAN DR
BROOKHAVEN, MS 39601-2326
Phone number: 601-833-3822
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