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Individual

BREONNA RASHELE RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-0210
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-0210

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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