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Individual

GINGER BREEDING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
US ARMY MEDICAL DEPARTMENT ACTIVITY (MEDDAC), FORT IRWIN, CA 92310-5065
(760) 380-3144
Mailing address
5148B CRACKER JACK LN, FORT IRWIN, CA 92310-2000
(760) 386-4232

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171660
CO

Other

Enumeration date
05/09/2006
Last updated
07/08/2007
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