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Breanna Dawn Dove
Student in an Organized Health Care Education/Training Program in La Porte, Indiana
NPI 1649964628

Breanna Dawn Dove is a Student in an Organized Health Care Education/Training Program based in La Porte, IN. Breanna Dawn Dove practices in La Porte, IN. The NPI Number for Breanna Dawn Dove is 1649964628 and holds a License No. (Indiana).

The current practice location address for Breanna Dawn Dove is 4288 W Crest View Ln, La Porte, IN and can be reached out via phone at 219-575-9058.

Location: 4288 W Crest View Ln, La Porte, IN, 46350-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649964628
Provider Name
Breanna Dawn Dove
Credential
Provider Entity Type
Individual
Gender
Female
Address
4288 W Crest View Ln, La Porte, IN, 46350-2124
Phone Number
219-575-9058
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4288 W Crest View Ln
City
La Porte
State
Indiana
Zip
46350-2124
Phone Number
219-575-9058
Fax Number
person
Provider Business Mailing Address Details
Address
4288 W Crest View Ln
City
La Porte
State
Indiana
Zip
46350-2124
Phone Number
219-575-9058
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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