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1144530478
AMANDA ELIZABETH DODGE
LEBANON, NH
NPI
1144530478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VT 073.0044975)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
AMANDA ELIZABETH DODGE C.O.T.A/L
23 MAHAN ST
LEBANON, NH 03766-1315
Phone number: 603-443-9639
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Mailing Address
AMANDA ELIZABETH DODGE C.O.T.A/L
76 OLIVE ST
SPRINGFIELD, VT 05156-3251
Phone number: 802-376-0021
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