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1194491704
AMANDA LYNN GILLOCK
BOWLING GREEN, KY
NPI
1194491704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
AMANDA LYNN GILLOCK
133 OLD MILL DR
BOWLING GREEN, KY 42104-0831
Phone number: 270-348-0143
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Mailing Address
AMANDA LYNN GILLOCK
133 OLD MILL DR
BOWLING GREEN, KY 42104-0831
Phone number: 270-348-0143
Copy
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