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Individual

DR. BREANNE HAFER BLEAKMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4565 DRESSLER RD NW, #101, CANTON, OH 44718-2549
(330) 493-9457
Mailing address
3793 FAIRWAY PARK DR, APT 106, COPLEY, OH 44321-1674
(937) 238-1585

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023718
OH

Other

Enumeration date
07/23/2012
Last updated
07/23/2012
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