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1033766811
AMANDA ROSE WIGHTMAN
FULLERTON, CA
NPI
1033766811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
AMANDA ROSE WIGHTMAN
801 E CHAPMAN AVE
FULLERTON, CA 92831-3839
Phone number: 714-680-9000
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Mailing Address
AMANDA ROSE WIGHTMAN
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-9000
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