BRETT MARTIN KISRO

CHESTERFIELD, MO
NPI1306046461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2001016350)
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
Mr. BRETT MARTIN KISRO LAT
226 S WOODS MILL RD
CHESTERFIELD, MO 63017-3662
Phone number: 314-205-6185
Mailing Address
Mr. BRETT MARTIN KISRO LAT
226 S WOODS MILL RD
CHESTERFIELD, MO 63017-3662
Phone number: 314-205-6185
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