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Individual

AMANDA HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 MULLICA HILL RD, GLASSBORO, NJ 08028-1700
(856) 267-0668
Mailing address
335 SAPPHIRE DR, JACKSON, NJ 08527-1364
(732) 228-1730

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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