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1104221928
AMANDA DORSTEN
LUBBOCK, TX
NPI
1104221928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT6052)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- AMANDA DORSTEN ATC, LAT, M.Ed.
6216 66TH ST
LUBBOCK, TX 79409
Phone number: 937-286-0131
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Mailing Address
-- AMANDA DORSTEN ATC, LAT, M.Ed.
6216 66TH ST APT 518
LUBBOCK, TX 79424
Phone number: 937-286-0131
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