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1134165921
AMANDA DEE MARTIN
CAPE GIRARDEAU, MO
NPI
1134165921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2006004089)
Enumeration Date
2006-06-21
Last Update Date
2017-02-14
Business Address
-- AMANDA DEE MARTIN ATC, LAT
1 UNIVERSITY PLZ MS 7000
CAPE GIRARDEAU, MO 63701-4710
Phone number: 573-986-6764
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Mailing Address
-- AMANDA DEE MARTIN ATC, LAT
2647 TRAVELERS WAY
JACKSON, MO 63755-2475
Phone number: 405-694-3444
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