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1629556451
AMANDA SHELTON
GRESHAM, OR
NPI
1629556451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 10161465)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
AMANDA SHELTON ATC
26000 SE STARK ST
GRESHAM, OR 97030-3300
Phone number: 503-491-7350
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Mailing Address
AMANDA SHELTON ATC
1930 NW FRONT AVE APT 212
PORTLAND, OR 97209-1849
Phone number: 414-699-7736
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