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Individual

AMANDA R KUNTZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
1903 COUNTRY DR, APT. 302, GRAYSLAKE, IL 60030-3181
(847) 715-8703
Mailing address
1903 COUNTRY DR, APT. 302, GRAYSLAKE, IL 60030-3181
(847) 715-8703

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
03/22/2006
Last updated
07/08/2007
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