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1003278300
AMANDA N FAWSON
OGDEN, UT
NPI
1003278300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
-- AMANDA N FAWSON IDMT
2155 GRANT AVE APT 241
OGDEN, UT 84401-1462
Phone number: 435-840-4113
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Mailing Address
-- AMANDA N FAWSON IDMT
2155 GRANT AVE APT 241
OGDEN, UT 84401-1462
Phone number: 435-840-4113
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