NATHAN M BRINE

HUDSON, WI
NPI1053607499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1005-39)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- NATHAN M BRINE ATC LAT
2305 WILLIS MILLER DR
HUDSON, WI 54016
Phone number: 715-386-1155
Mailing Address
-- NATHAN M BRINE ATC LAT
483 COUNTRY VIEW RD
HUDSON, WI 54016-7819
Phone number: 715-222-3847
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