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1144642158
AMANDA PRUSAK
TUSCALOOSA, AL
NPI
1144642158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2310)
Enumeration Date
2014-01-09
Last Update Date
2019-04-05
Business Address
AMANDA PRUSAK MA, ATC, LAT
1800 MCFARLAND BLVD E STE 340
TUSCALOOSA, AL 35404-5882
Phone number: 205-345-2801
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Mailing Address
AMANDA PRUSAK MA, ATC, LAT
1800 MCFARLAND BLVD E STE 340
TUSCALOOSA, AL 35404-5882
Phone number: 717-309-4662
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