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1124653910
AMANDA LEE RADER
FAIRFIELD, OH
NPI
1124653910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 170305.MEDS-IV)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
AMANDA LEE RADER
4150 LARK ST
FAIRFIELD, OH 45014-5780
Phone number: 513-348-9010
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Mailing Address
AMANDA LEE RADER
4150 LARK ST
FAIRFIELD, OH 45014-5780
Phone number: 513-348-9010
Copy
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