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1356673917
AMANDA PITTMAN
JACKSON, MS
NPI
1356673917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0458)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
-- AMANDA PITTMAN ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4448
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Mailing Address
-- AMANDA PITTMAN ATC
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4448
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