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1962218917
AMICUA BRECKENRIDGE
AUSTIN, TX
NPI
1962218917
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Former Name
AMICUA CONWAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1179517)
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
AMICUA BRECKENRIDGE FNP-C
12200 RESEARCH BLVD STE 200
AUSTIN, TX 78759-2333
Phone number: 512-229-1536
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Mailing Address
AMICUA BRECKENRIDGE FNP-C
12200 RESEARCH BLVD STE 200
AUSTIN, TX 78759-2333
Phone number: 512-229-1536
Copy
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