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Individual

MS. BARBARA ANN BRECKENRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1879 WATERBROOK LN, COLUMBUS, OH 43209-3334
(614) 238-3304
Mailing address
1879 WATERBROOK LN, COLUMBUS, OH 43209-3334
(614) 238-3304

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
055585
OH
164W00000X
Licensed Practical Nurse
PN055585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2135942
OH
Enumeration date
04/03/2008
Last updated
05/15/2008
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