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Individual

MRS. EMILY ELIZABETH BREITBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, LAT, ATC

Contact information

Practice address
701 N C ST, SIMPSON COLLEGE-COWLES, INDIANOLA, IA 50125-1201
(515) 961-1503
Mailing address
1205 W 2ND AVE, APT. 12B, INDIANOLA, IA 50125-2195

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
000772
IA

Other

Enumeration date
03/25/2011
Last updated
03/25/2011
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