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1326578584
ANDREA SHANELL ITTNER
BENTONVILLE, AR
NPI
1326578584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR 539)
Enumeration Date
2017-06-19
Last Update Date
2022-07-21
Business Address
ANDREA SHANELL ITTNER ATC
1912 SW ASPEN ST
BENTONVILLE, AR 72712-7754
Phone number: 918-406-8170
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Mailing Address
ANDREA SHANELL ITTNER ATC
1912 SW ASPEN ST
BENTONVILLE, AR 72712-7754
Phone number: 918-406-8170
Copy
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