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1306393822
AMANDA ANASTASOFF
WAYNE, MI
NPI
1306393822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- AMANDA ANASTASOFF
35640 WEST MICHIGAN AVENUE
WAYNE, MI 48184
Phone number: 734-729-7792
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Mailing Address
-- AMANDA ANASTASOFF
13316 IDA CENTER RD
IDA, MI 48140-9722
Phone number: 734-347-0712
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