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1154642148
AMANDA JOHNSON
O FALLON, IL
NPI
1154642148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2010-06-14
Last Update Date
2015-02-16
Business Address
-- AMANDA JOHNSON
8 EAGLE CTR STE 5
O FALLON, IL 62269-1947
Phone number: 618-334-4550
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Mailing Address
-- AMANDA JOHNSON
8 EAGLE CTR STE 5
O FALLON, IL 62269-1947
Phone number: 618-334-4550
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