BRENT LARRY AMBLE

EAU CLAIRE, WI
NPI1235122771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  101-039)
Enumeration Date2005-08-30
Last Update Date2022-11-17
Business Address
Mr. BRENT LARRY AMBLE A.T.C., L.A.T.
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4633
Mailing Address
Mr. BRENT LARRY AMBLE A.T.C., L.A.T.
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4633
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