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1225738206
AMANDA RUSSELL
AUSTIN, TX
NPI
1225738206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: L-302797)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
AMANDA RUSSELL IBCLC
12029 BRYONY DR
AUSTIN, TX 78739-1945
Phone number: 512-484-2637
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Mailing Address
AMANDA RUSSELL IBCLC
12029 BRYONY DR
AUSTIN, TX 78739-1945
Phone number: 512-484-2637
Copy
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