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1386778132
BRENNA D. ELLIS
SAN ANTONIO, TX
NPI
1386778132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT2542)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- BRENNA D. ELLIS MS,ATC,LAT
UTSA ATHLETICS ONE UTSA CIRCLE
SAN ANTONIO, TX 78249-0691
Phone number: 210-458-7697
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Mailing Address
-- BRENNA D. ELLIS MS,ATC,LAT
8603 N LOOP 1604 W #12235
SAN ANTONIO, TX 78249-2601
Phone number: 210-481-8401
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