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Individual

AMANDA NICOLE PIQUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 E 5TH ST, GREENVILLE, NC 27858-2502
(321) 474-8739
Mailing address
130B SCALES FIELD HOUSE, EAST CAROLINA UNIVERSITY, GREENVILLE, NC 27858
(321) 474-8739

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/10/2019
Last updated
04/10/2019
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