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1437917721
COURTNEY BREAZEALE
TEMPLE, TX
NPI
1437917721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA18214)
Enumeration Date
2024-03-11
Last Update Date
2024-10-29
Business Address
COURTNEY BREAZEALE
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 817-894-5240
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Mailing Address
COURTNEY BREAZEALE
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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