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1356625784
AMANDA VICTORIA SHOCKLEY
CARMEL, IN
NPI
1356625784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004067A)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
AMANDA VICTORIA SHOCKLEY
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-570-1037
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Mailing Address
AMANDA VICTORIA SHOCKLEY
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-570-1037
Copy
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