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1003471194
AMANDA NICHOLE FENTON
NAPERVILLE, IL
NPI
1003471194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI F535-0149-7743-00)
Enumeration Date
2019-05-05
Last Update Date
2019-05-05
Business Address
AMANDA NICHOLE FENTON
2420 HIGH MEADOW RD
NAPERVILLE, IL 60564-5375
Phone number: 630-699-3341
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Mailing Address
AMANDA NICHOLE FENTON
2420 HIGH MEADOW RD
NAPERVILLE, IL 60564-5375
Phone number: 630-699-3341
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