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1316345309
AMANDA DELORES ALLEN
WILSON, NC
NPI
1316345309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- AMANDA DELORES ALLEN
204 KENMORE ST N
WILSON, NC 27893-1848
Phone number: 252-366-3191
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Mailing Address
-- AMANDA DELORES ALLEN
2105B FAIRMOUNT AVE APT B
RICHMOND, VA 23223-5137
Phone number: 252-366-3191
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