BRETT PENNING

CHARLESTON, IL
NPI1588081491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003064)
Enumeration Date2014-03-28
Last Update Date2014-03-28
Business Address
-- BRETT PENNING MS, ATC
614 W POLK AVE APT 2
CHARLESTON, IL 61920-1795
Phone number: 217-317-1984
Mailing Address
-- BRETT PENNING MS, ATC
614 W POLK AVE APT 2
CHARLESTON, IL 61920-1795
Phone number: 217-317-1984
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