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1144896325
AMANDA C LONG
KANSAS CITY, MO
NPI
1144896325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2021015424)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
AMANDA C LONG PTA
106 NW 112TH ST
KANSAS CITY, MO 64155-3615
Phone number: 816-519-3310
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Mailing Address
AMANDA C LONG PTA
106 NW 112TH ST
KANSAS CITY, MO 64155-3615
Phone number: 816-519-3310
Copy
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