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Individual

DR. BREELEY HENZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
727 WINTER ST, LUCEDALE, MS 39452-5949
(601) 947-2913
(601) 766-0212
Mailing address
1113 CENTRAL AVE E, WIGGINS, MS 39577-9605
(601) 928-3914
(601) 928-2207

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1032
MS

Other

Enumeration date
06/23/2021
Last updated
03/13/2025
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