MR. Larry Brackenbury
NPI #1770842700 in Pine City, Minnesota
Provider Information
- NPI Number
- 1770842700
- Entity Type
- Individual
- Name
- MR. Larry Brackenbury
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- May 11, 2012
- Last Updated
- May 11, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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