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1720057375
BRETT HOLMERTZ
ROCKFORD, IL
NPI
1720057375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001839)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
Mr. BRETT HOLMERTZ ATC
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
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Mailing Address
Mr. BRETT HOLMERTZ ATC
3812 BARRINGTON RD
ROCKFORD, IL 61107-2239
Phone number: 815-985-4972
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