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1033521646
AMANDA BOSARGE
MOBILE, AL
NPI
1033521646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: AL 1349)
Enumeration Date
2014-05-30
Last Update Date
2014-05-30
Business Address
Ms. AMANDA BOSARGE
8053 AIRWAY PARK DR
MOBILE, AL 36608-9602
Phone number: 251-443-7667
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Mailing Address
Ms. AMANDA BOSARGE
8053 AIRWAY PARK DR
MOBILE, AL 36608-9602
Phone number: 251-443-7667
Copy
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