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1205449717
AMANDA BREITENBACH
PORT ORANGE, FL
NPI
1205449717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA SI61076397)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
AMANDA BREITENBACH
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128-8311
Phone number: 888-265-2680
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Mailing Address
AMANDA BREITENBACH
574 HILLDALE CIR
MILFORD, MI 48381-2330
Phone number:
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