Individual
BRECKAN NICHOLAS EBNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082
(320) 905-0383
Mailing address
510 3RD STREET WEST, LAKE LILLIAN, MN 56253
(320) 905-0383
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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