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1417464876
AMANDA WALL LAGRANGE
GREENVILLE, NC
NPI
1417464876
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Former Name
AMANDA GWEN WALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 11531)
Enumeration Date
2018-01-08
Last Update Date
2018-02-15
Business Address
AMANDA WALL LAGRANGE MS, OTR/L
1925A TURNBURY DR
GREENVILLE, NC 27858-6168
Phone number: 252-341-9944
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Mailing Address
AMANDA WALL LAGRANGE MS, OTR/L
1925A TURNBURY DR
GREENVILLE, NC 27858-6168
Phone number: 252-341-9944
Copy
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