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1043503592
CARLA R BREAZEAL
SWEETWATER, TX
NPI
1043503592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 210487)
Enumeration Date
2011-05-17
Last Update Date
2011-05-17
Business Address
Mrs. CARLA R BREAZEAL COTA
1201 JOSEPHINE ST
SWEETWATER, TX 79556-3418
Phone number: 832-585-7940
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Mailing Address
Mrs. CARLA R BREAZEAL COTA
1201 JOSEPHINE ST
SWEETWATER, TX 79556-3418
Phone number: 832-585-7940
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