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Individual

MRS. PATRICIA BREAZIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8557 BASH ST STE 106, INDIANAPOLIS, IN 46250-5524
(317) 970-2183
Mailing address
8557 BASH ST STE 106, INDIANAPOLIS, IN 46250-5524
(317) 970-2183

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/26/2015
Last updated
02/26/2015
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