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1366880155
AMANDA LIST
MANHATTAN, IL
NPI
1366880155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-06-13
Last Update Date
2013-06-13
Business Address
Mrs. AMANDA LIST DT
25632 BARROW RD
MANHATTAN, IL 60442-6250
Phone number: 773-544-9928
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Mailing Address
Mrs. AMANDA LIST DT
10548 S SPRINGFIELD AVE
CHICAGO, IL 60655-3829
Phone number: 708-990-2988
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