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1154729408
STEPHEN BREAZEALE
BALTIMORE, MD
NPI
1154729408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R211436)
Enumeration Date
2014-12-18
Last Update Date
2014-12-18
Business Address
Mr. STEPHEN BREAZEALE CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-2260
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Mailing Address
Mr. STEPHEN BREAZEALE CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-2260
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