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1881193217
AMANDA SHADLE
WILLIAMSPORT, PA
NPI
1881193217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTO000318)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
AMANDA SHADLE
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1900
Phone number: 570-321-2020
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Mailing Address
AMANDA SHADLE
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1900
Phone number: 570-321-2020
Copy
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