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1245629989
AMANDA ELLIS
IOLA, KS
NPI
1245629989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 2487)
Enumeration Date
2015-01-19
Last Update Date
2015-01-19
Business Address
-- AMANDA ELLIS
600 E GARFIELD ST
IOLA, KS 66749-2034
Phone number: 620-473-0463
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Mailing Address
-- AMANDA ELLIS
600 E GARFIELD ST
IOLA, KS 66749-2034
Phone number: 620-473-0463
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