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1649403452
AMANDA ELIZABETH MADSEN
BLOOMINGTON, IN
NPI
1649403452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 000808)
Enumeration Date
2009-08-26
Last Update Date
2020-05-04
Business Address
AMANDA ELIZABETH MADSEN ATC
1001 E 17TH ST
BLOOMINGTON, IN 47408-1590
Phone number: 507-272-7452
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Mailing Address
AMANDA ELIZABETH MADSEN ATC
100 WARTBURG BLVD
WAVERLY, IA 50677-2215
Phone number:
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