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1336620947
AMANDA G. WACASEY
FORT WORTH, TX
NPI
1336620947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
AMANDA G. WACASEY
1201 WESLEYAN ST
FORT WORTH, TX 76105-1536
Phone number: 817-629-8097
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Mailing Address
AMANDA G. WACASEY
1201 WESLEYAN ST
FORT WORTH, TX 76105-1536
Phone number:
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