BRENT ALAN MELVIN

PERU, NE
NPI1700928421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  400)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
-- BRENT ALAN MELVIN ATC
600 HOYT ST
PERU, NE 68421
Phone number: 402-872-2390
Mailing Address
-- BRENT ALAN MELVIN ATC
1908 PARK AVE
PERU, NE 68421-3044
Phone number: 402-872-7217
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