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1316159171
AMANDA GALE BLADE
VALPARAISO, IN
NPI
1316159171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31004268A)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- AMANDA GALE BLADE O.T.R.
3405 CAMPBELL ST
VALPARAISO, IN 46385-2363
Phone number: 219-462-1023
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Mailing Address
-- AMANDA GALE BLADE O.T.R.
1461 JADE BLVD
VALPARAISO, IN 46385-6302
Phone number: 219-548-2450
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