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1316207061
AMANDA C FENNICKS
SCHENECTADY, NY
NPI
1316207061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 21810636)
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
-- AMANDA C FENNICKS
1743 HAMBURG ST
SCHENECTADY, NY 12304
Phone number: 518-847-3305
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Mailing Address
-- AMANDA C FENNICKS
1743 HAMBURG ST
SCHENECTADY, NY 12304-4602
Phone number: 518-847-3305
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