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1568883445
JEFFREY BRUNNER
GREEN BAY, WI
NPI
1568883445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5274-24)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- JEFFREY BRUNNER PT
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-8151
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Mailing Address
-- JEFFREY BRUNNER PT
W9350 FRIENDSHIP RD
SHAWANO, WI 54166-6319
Phone number: 715-526-2887
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