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1023526019
AMANDA DARLENE GERVERA
OSWEGO, NY
NPI
1023526019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NY 1107315171)
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
AMANDA DARLENE GERVERA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
AMANDA DARLENE GERVERA
10085 COUNTY ROUTE 95
RODMAN, NY 13682-2116
Phone number: 315-727-0180
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