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1548644776
BRANDI PETERS
KENOSHA, WI
NPI
1548644776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1650-39)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- BRANDI PETERS LAT
2717 18TH ST SUITE 100
KENOSHA, WI 53140-4666
Phone number: 262-551-5650
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Mailing Address
-- BRANDI PETERS LAT
PO BOX 3497
STURTEVANT, WI 53177-0300
Phone number: 877-552-2996
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