AMANDA LOUDERBACK

EAU CLAIRE, WI
NPI1740581909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  988-039)
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
-- AMANDA LOUDERBACK
4212 SOUTHTOWNE DR
EAU CLAIRE, WI 54701
Phone number: 715-832-1400
Mailing Address
-- AMANDA LOUDERBACK
2304 SUNSET DR. #6
EAU CLAIRE, WI 54703
Phone number:
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