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1437397965
AMANDA LEIGH MORAN
PROVIDENCE, RI
NPI
1437397965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI AT00247)
Enumeration Date
2009-01-21
Last Update Date
2009-01-21
Business Address
Ms. AMANDA LEIGH MORAN ATC
285 PROMENADE ST
PROVIDENCE, RI 02908-5719
Phone number: 401-459-4008
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Mailing Address
Ms. AMANDA LEIGH MORAN ATC
23 KRISTEE CIR
WEST WARWICK, RI 02893-7511
Phone number: 401-821-4314
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