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1922351188
JADE LEIGH BREEBACK
KERNERSVILLE, NC
NPI
1922351188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03626)
Enumeration Date
2012-10-24
Last Update Date
2021-09-24
Business Address
Mrs. JADE LEIGH BREEBACK PA-C
1635 NC HIGHWAY 66 S 155
KERNERSVILLE, NC 27284-3854
Phone number: 336-996-2006
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Mailing Address
Mrs. JADE LEIGH BREEBACK PA-C
1635 NC HIGHWAY 66 S 155
KERNERSVILLE, NC 27284-3854
Phone number: 336-996-2006
Copy
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