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1124895297
ERIC AMANKONA
WORCESTER, MA
NPI
1124895297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: MA LN69615)
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
ERIC AMANKONA
67 LEDGECREST DR
WORCESTER, MA 01603-1267
Phone number: 508-847-5620
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Mailing Address
ERIC AMANKONA
67 LEDGECREST DR
WORCESTER, MA 01603-1267
Phone number: 508-847-5620
Copy
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