JACKY BRENTON

PUEBLO, CO
NPI1699381244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  AT.0001926)
Enumeration Date2020-09-18
Last Update Date2020-09-18
Business Address
JACKY BRENTON ATC
3676 PARKER BLVD STE 310
PUEBLO, CO 81008-2214
Phone number: 719-595-7780
Mailing Address
JACKY BRENTON ATC
PO BOX 8066
PUEBLO, CO 81008
Phone number: 719-289-5809
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