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1003905985
JACOB MICHAEL BRENING
CLEVELAND, TN
NPI
1003905985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TN 0000000990)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
MR. JACOB MICHAEL BRENING ATC
1120 NORTH OCOEE LEE UNIVERSITY ATHLETICS
CLEVELAND, TN 37311
Phone number: 423-614-8527
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Mailing Address
MR. JACOB MICHAEL BRENING ATC
2191 OLD HARRISON PIKE NW APT 2
CLEVELAND, TN 37311-1098
Phone number:
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