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1356715403
AMANDA SHORAM
SAINT ALBANS, VT
NPI
1356715403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VT 072.0107104)
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
-- AMANDA SHORAM
110 FAIRFAX RD
SAINT ALBANS, VT 05478-6299
Phone number: 802-752-1600
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Mailing Address
-- AMANDA SHORAM
110 FAIRFAX RD
SAINT ALBANS, VT 05478-6299
Phone number: 802-752-1600
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