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1144773763
AMANDA MARIE MITCHELL GONZALEZ
SAN DIEGO, CA
NPI
1144773763
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Former Name
AMANDA MARIE MITCHELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-07-31
Last Update Date
2024-07-12
Business Address
AMANDA MARIE MITCHELL GONZALEZ ATC, EMT-P
3643 BOUNDARY ST
SAN DIEGO, CA 92104-3805
Phone number: 661-618-5305
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Mailing Address
AMANDA MARIE MITCHELL GONZALEZ ATC, EMT-P
3643 BOUNDARY ST
SAN DIEGO, CA 92104-3805
Phone number: 661-618-5305
Copy
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