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1891172607
DEANNA PRENTICE
LAWRENCE, KS
NPI
1891172607
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Former Name
DEANNA WALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-04-30
Last Update Date
2020-03-23
Business Address
DEANNA PRENTICE M.Ed, LAT, ATC, EMT
1112 W 6TH ST STE 124
LAWRENCE, KS 66044-2249
Phone number: 785-843-9125
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Mailing Address
DEANNA PRENTICE M.Ed, LAT, ATC, EMT
1112 W 6TH ST STE 124
LAWRENCE, KS 66044-2249
Phone number:
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