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1356742704
AMANDA DONELSON
INDIANAPOLIS, IN
NPI
1356742704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002083a)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
-- AMANDA DONELSON LAT, ATC
7166 CONSTITUTION DR APT A
INDIANAPOLIS, IN 46256-2409
Phone number: 765-432-8857
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Mailing Address
-- AMANDA DONELSON LAT, ATC
7166 CONSTITUTION DR APT A
INDIANAPOLIS, IN 46256-2409
Phone number:
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