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1265085328
AMANDA NICOLE-MARIE LANE
BREMERTON, WA
NPI
1265085328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-07-18
Last Update Date
2021-10-27
Business Address
AMANDA NICOLE-MARIE LANE
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
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Mailing Address
AMANDA NICOLE-MARIE LANE
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
Copy
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