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1144889544
MCKENZIE BREKKEN
CLEAR LAKE, IA
NPI
1144889544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-11628)
Enumeration Date
2019-06-10
Last Update Date
2022-08-15
Business Address
MCKENZIE BREKKEN DO
1410 6TH AVE S
CLEAR LAKE, IA 50428-2606
Phone number: 641-357-2191
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Mailing Address
MCKENZIE BREKKEN DO
621 S ILLINOIS AVE STE 103
MASON CITY, IA 50401-5489
Phone number: 641-428-7766
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