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Larry Brackenbury

NPI 1770842700 · on the registry since 2012 · sole proprietor

Practice

Address
810 8th St Sw
Pine City, MN 55063
Phone
(320) 629-3730

Registry record

Primary taxonomy
Contractor
171W00000X
Sex
Male
Record last updated
2012-05-11
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota