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1194152132
AMANDA KAY WAUN
LOUISVILLE, KY
NPI
1194152132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002566)
Enumeration Date
2013-10-04
Last Update Date
2013-10-04
Business Address
Mrs. AMANDA KAY WAUN P.T.A.
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
Mrs. AMANDA KAY WAUN P.T.A.
1722 FISH LAKE RD
LAPEER, MI 48446-8345
Phone number: 810-660-7602
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