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1457757940
ANTHONY R BRENNEKE
JEFFERSON CITY, MO
NPI
1457757940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006024759)
Enumeration Date
2014-11-10
Last Update Date
2022-05-23
Business Address
ANTHONY R BRENNEKE MPT
3600 COUNTRY CLUB DR STE 530B
JEFFERSON CITY, MO 65109-1060
Phone number: 573-606-7100
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Mailing Address
ANTHONY R BRENNEKE MPT
3600 COUNTRY CLUB DR STE 530B
JEFFERSON CITY, MO 65109-1060
Phone number: 573-606-7100
Copy
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