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1497142780
AMANDA MARVIN
FAIRFAX, VA
NPI
1497142780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000658)
Enumeration Date
2015-04-24
Last Update Date
2015-04-24
Business Address
-- AMANDA MARVIN ATC
11240 WAPLES MILL RD SUITE 403
FAIRFAX, VA 22030-6078
Phone number: 703-810-5286
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Mailing Address
-- AMANDA MARVIN ATC
11240 WAPLES MILL RD SUITE 403
FAIRFAX, VA 22030-6078
Phone number: 703-810-5286
Copy
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