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1861513046
BREHON CHARLES ALLEN
BETTENDORF, IA
NPI
1861513046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA a135733)
Enumeration Date
2007-04-03
Last Update Date
2015-08-25
Business Address
Mr. BREHON CHARLES ALLEN NP-C
2979 VICTORIA ST
BETTENDORF, IA 52722-2784
Phone number: 563-332-8528
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Mailing Address
Mr. BREHON CHARLES ALLEN NP-C
2979 VICTORIA ST
BETTENDORF, IA 52722-2784
Phone number: 563-332-8528
Copy
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