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Organization
ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS
Active
Organization
ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANN BREEDLOVE RN, MSN, FNP (FAMILY NURSE PRACTITIONER)
(903) 241-0513
Entity
Organization
Contact information
Practice address
907 N 4TH ST, LONGVIEW, TX 75601-5416
(903) 241-0513
Mailing address
907 N 4TH ST, LONGVIEW, TX 75601-5416
(903) 241-0513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
691969
TX
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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