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1801858121
BARRY ELLIS BRECKLE
SAINT LOUIS, MO
NPI
1801858121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 5862)
Enumeration Date
2006-04-03
Last Update Date
2020-12-17
Business Address
Mr. BARRY ELLIS BRECKLE RN, MSN, FNP-BC
1 JEFFERSON BARRACKS DR 11G-JB
SAINT LOUIS, MO 63125-4181
Phone number: 314-845-5054
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Mailing Address
Mr. BARRY ELLIS BRECKLE RN, MSN, FNP-BC
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-845-5054
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