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1043666050
AMANDA JACKSON
PLATTSBURGH, NY
NPI
1043666050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- AMANDA JACKSON
22 NEW YORK RD
PLATTSBURGH, NY 12903-3981
Phone number: 518-593-5223
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Mailing Address
-- AMANDA JACKSON
40 OLIVETTI PL
PLATTSBURGH, NY 12901-2614
Phone number: 518-593-5223
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