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1164604690
THERESA MARIE RENNER
ALAMOSA, CO
NPI
1164604690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- THERESA MARIE RENNER ATC
208 EDGEMONT BLVD PLACHY HALL - ATHLETIC TRAINING
ALAMOSA, CO 81102-0001
Phone number: 719-587-7431
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Mailing Address
-- THERESA MARIE RENNER ATC
1125 4TH ST
ALAMOSA, CO 81101-2413
Phone number: 307-689-0791
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