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1083603039
JAN H BREKKE
GLENDALE, AZ
NPI
1083603039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ 27440)
Enumeration Date
2005-10-20
Last Update Date
2007-07-08
Business Address
-- JAN H BREKKE MD
5322 W NORTHERN AVE
GLENDALE, AZ 85301-1405
Phone number: 480-425-5063
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Mailing Address
-- JAN H BREKKE MD
5322 W NORTHERN AVE
GLENDALE, AZ 85301-1405
Phone number: 480-425-5063
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