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1821407818
BRENTNY RENFRO
DECATUR, IL
NPI
1821407818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005105)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- BRENTNY RENFRO PA-C
2905 N MAIN ST
DECATUR, IL 62526-4274
Phone number: 217-877-6111
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Mailing Address
-- BRENTNY RENFRO PA-C
2905 N MAIN ST
DECATUR, IL 62526-4274
Phone number:
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