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Individual

AMANDA ANDREWS BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 HUEY P LONG FIELDHOUSE, BATON ROUGE, LA 70803-0001
(225) 578-3549
Mailing address
112 HUEY P LONG FIELDHOUSE, BATON ROUGE, LA 70803-0001

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200453
LA

Other

Enumeration date
06/20/2019
Last updated
06/20/2019
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