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1477959997
JOSHUA BRELLENTHIN
GREEN BAY, WI
NPI
1477959997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1191-39)
Enumeration Date
2014-11-11
Last Update Date
2014-11-11
Business Address
-- JOSHUA BRELLENTHIN MS, ATC, LAT
2420 NICOLET DR
GREEN BAY, WI 54311-7003
Phone number: 262-203-0194
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Mailing Address
-- JOSHUA BRELLENTHIN MS, ATC, LAT
2420 NICOLET DR
GREEN BAY, WI 54311-7003
Phone number: 262-203-0194
Copy
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