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1801213764
AMANDA HODGE
MONTGOMERY, AL
NPI
1801213764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1456)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
-- AMANDA HODGE
4605 CHERRY TREE TERRACE
MONTGOMERY, AL 36106
Phone number: 850-982-6126
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Mailing Address
-- AMANDA HODGE
4605 CHERRY TREE TER
MONTGOMERY, AL 36106-3119
Phone number: 850-982-6126
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