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1861939910
KELLIE KATHRYN BREAUX
COEUR D ALENE, ID
NPI
1861939910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55031)
Enumeration Date
2017-01-27
Last Update Date
2017-07-10
Business Address
Mrs. KELLIE KATHRYN BREAUX FNP-MSN
700 W IRONWOOD DR SUITE 155
COEUR D ALENE, ID 83814-2656
Phone number: 208-667-0585
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Mailing Address
Mrs. KELLIE KATHRYN BREAUX FNP-MSN
700 W. IRONWOOD DRIVE SUITE 155
COEUR D'ALENE, ID 83814-4462
Phone number: 208-667-0585
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