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1003013590
AMANDA RUTH LANE
PADUCAH, KY
NPI
1003013590
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Former Name
AMANDA RUTH MATHIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 3125)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA RUTH LANE M.S. CCC-SLP
867 MCGUIRE AVE
PADUCAH, KY 42001-4036
Phone number: 270-442-6168
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Mailing Address
Mrs. AMANDA RUTH LANE M.S. CCC-SLP
1186 HALE SPRINGS RD
BENTON, KY 42025-4713
Phone number: 270-252-0203
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