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1417674219
AMANDA ELLISTON
SOUTH HADLEY, MA
NPI
1417674219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: MA 3157)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
AMANDA ELLISTON LDN, CLC
30 OLD LYMAN RD
SOUTH HADLEY, MA 01075-2630
Phone number: 413-533-7140
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Mailing Address
AMANDA ELLISTON LDN, CLC
12 GLENN DR
WILBRAHAM, MA 01095-1404
Phone number: 413-695-2884
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