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1366080830
KIMMY RENEA BRECKENRIDGE
LAWTON, OK
NPI
1366080830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: OK 70881)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
KIMMY RENEA BRECKENRIDGE LPN
5304 SW TYLER AVE
LAWTON, OK 73505-5750
Phone number: 580-351-8520
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Mailing Address
KIMMY RENEA BRECKENRIDGE LPN
5304 SW TYLER AVE
LAWTON, OK 73505-5750
Phone number: 580-351-8520
Copy
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