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1366099624
JACOB THOMAS BRUNEMANN
LOUISVILLE, KY
NPI
1366099624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1519)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
JACOB THOMAS BRUNEMANN MS, ATC
2440 CONCORD DR
LOUISVILLE, KY 40217-1832
Phone number: 812-209-9320
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Mailing Address
JACOB THOMAS BRUNEMANN MS, ATC
2440 CONCORD DR
LOUISVILLE, KY 40217-1832
Phone number: 812-209-9320
Copy
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