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Individual

MRS. BREANNA MARIE BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAT

Contact information

Practice address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-8200
(715) 732-8203
Mailing address
123 MESSENGER AVE, OCONTO, WI 54153-1046
(715) 938-3828

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
732-039
WI

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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