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1801324918
AMANDA DIENNO
MOSCOW, ID
NPI
1801324918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-02
Last Update Date
2017-06-02
Business Address
-- AMANDA DIENNO
875 PERIMETER DR # MS 2401
MOSCOW, ID 83844-9803
Phone number: 208-855-2182
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Mailing Address
-- AMANDA DIENNO
640 SW GOLDEN HILLS DR APT A201
PULLMAN, WA 99163-6709
Phone number: 253-549-5877
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