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1073187084
ANGELA ROSE BRAZIL-MENARD
OMAHA, NE
NPI
1073187084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 1131)
Enumeration Date
2021-05-14
Last Update Date
2023-01-06
Business Address
ANGELA ROSE BRAZIL-MENARD MAT, LAT, ATC
11901 PACIFIC ST
OMAHA, NE 68154-3421
Phone number: 402-401-6151
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Mailing Address
ANGELA ROSE BRAZIL-MENARD MAT, LAT, ATC
1013 DAY DR
BELLEVUE, NE 68005-4425
Phone number: 650-888-7612
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