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1528831609
AMANDA JOY COOPER
BROOKINGS, SD
NPI
1528831609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD 0779)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
AMANDA JOY COOPER BS, LAT,ATC
1036 MEDARY AVE
BROOKINGS, SD 57007-0001
Phone number: 605-688-4121
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Mailing Address
AMANDA JOY COOPER BS, LAT,ATC
1730 CHRISTINE AVE APT 26
BROOKINGS, SD 57006-4313
Phone number: 484-896-8608
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