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1205378866
AMANDA IVY WALSH
MIDDLE ISLAND, NY
NPI
1205378866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: NY 133653894)
Enumeration Date
2016-11-14
Last Update Date
2021-03-17
Business Address
AMANDA IVY WALSH M.A.
35 LONGWOOD RD
MIDDLE ISLAND, NY 11953-2045
Phone number: 631-924-0008
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Mailing Address
AMANDA IVY WALSH M.A.
PO BOX 12
MIDDLE ISLAND, NY 11953-0012
Phone number: 631-924-0008
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