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Individual

KELLI A BREUKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 97622
(907) 443-3497
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3497

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704335756
MI

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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