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1457361990
AMANDA LYNN ANDERSON
GLENVIEW, IL
NPI
1457361990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.001971)
Enumeration Date
2006-08-08
Last Update Date
2011-12-07
Business Address
MRS. AMANDA LYNN ANDERSON ATC
4000 W LAKE AVE
GLENVIEW, IL 60026-1239
Phone number: 847-486-4627
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Mailing Address
MRS. AMANDA LYNN ANDERSON ATC
319 W RIVERSIDE DR
LAKEMOOR, IL 60051-8774
Phone number: 847-486-4627
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