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1508019217
BRENDA LEE PEEBLES
GREEN BAY, WI
NPI
1508019217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 625-019)
Enumeration Date
2008-10-25
Last Update Date
2008-10-25
Business Address
-- BRENDA LEE PEEBLES PTA
546 GWYNN ST
GREEN BAY, WI 54301-1079
Phone number: 920-330-9181
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Mailing Address
-- BRENDA LEE PEEBLES PTA
546 GWYNN ST
GREEN BAY, WI 54301-1079
Phone number: 920-330-9181
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