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1306993423
AMANDA MICHELLE COLEMAN
JONESBORO, AR
NPI
1306993423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR 993239)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- AMANDA MICHELLE COLEMAN
2712 WAKEFIELD DR APT H
JONESBORO, AR 72404-7793
Phone number: 870-926-5749
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Mailing Address
-- AMANDA MICHELLE COLEMAN
2712 WAKEFIELD DR APT H
JONESBORO, AR 72404-7793
Phone number: 870-926-5749
Copy
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