AMANDA BROWN

BLOOMINGTON, IL
NPI1437553021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003888)
Enumeration Date2014-10-10
Last Update Date2014-10-10
Business Address
-- AMANDA BROWN
20 BRICKYARD DR APT E17
BLOOMINGTON, IL 61701-7071
Phone number: 937-405-5116
Mailing Address
-- AMANDA BROWN
20 BRICKYARD DR APT E17
BLOOMINGTON, IL 61701-7071
Phone number: 937-405-5116
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