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Individual
DR. PAUL QUENTIN BREAZEALE
Active
Individual
DR. PAUL QUENTIN BREAZEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-2584816
FEDERAL TAX ID#
TX
Enumeration date
10/17/2006
Last updated
12/29/2008
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