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1659773430
BREANA KOUGHN
TUCSON, AZ
NPI
1659773430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP049949)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
BREANA KOUGHN
102 N PLUMER AVE
TUCSON, AZ 85719-5906
Phone number: 520-232-6700
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Mailing Address
BREANA KOUGHN
102 N PLUMER AVE
TUCSON, AZ 85719-5906
Phone number:
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