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1730666850
AMANDA NYSTROM
FAYETTEVILLE, NC
NPI
1730666850
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Former Name
AMANDA NYSTROM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL5844)
Enumeration Date
2018-07-21
Last Update Date
2024-09-16
Business Address
AMANDA NYSTROM LAT, ATC
5400 RAMSEY ST
FAYETTEVILLE, NC 28311-1420
Phone number: 910-630-7000
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Mailing Address
AMANDA NYSTROM LAT, ATC
174 ALLEGIANCE ST
RAEFORD, NC 28376-6926
Phone number:
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