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1710155387
RYANNE ELAINE BRECKENRIDGE
PLATTEVILLE, WI
NPI
1710155387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 823-039)
Enumeration Date
2008-02-15
Last Update Date
2008-02-15
Business Address
Ms. RYANNE ELAINE BRECKENRIDGE ATC
1 UNIVERSITY PLZ
PLATTEVILLE, WI 53818-3001
Phone number: 608-342-6015
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Mailing Address
Ms. RYANNE ELAINE BRECKENRIDGE ATC
884 UNIVERSITY AVE APT 2
DUBUQUE, IA 52001-6101
Phone number: 563-581-7764
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