RANDY JOSEPH BRUSH

SOUTH BEND, IN
NPI1902141237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  99054700A)
Enumeration Date2012-11-27
Last Update Date2012-11-27
Business Address
-- RANDY JOSEPH BRUSH P.A.
6301 UNIVERSITY COMMONS SUITE 210
SOUTH BEND, IN 46635-1571
Phone number: 574-234-4016
Mailing Address
-- RANDY JOSEPH BRUSH P.A.
6301 UNIVERSITY COMMONS SUITE 210
SOUTH BEND, IN 46635-1571
Phone number: 574-234-4016
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