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1619320066
AMANDA DEKANICK
NEW BRIGHTON, MN
NPI
1619320066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- AMANDA DEKANICK
2043 PLEASANT VIEW DR
NEW BRIGHTON, MN 55112-5352
Phone number: 651-707-7026
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Mailing Address
-- AMANDA DEKANICK
2043 PLEASANT VIEW DR
NEW BRIGHTON, MN 55112-5352
Phone number:
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