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1427396548
AMANDA FARRIS
OMAHA, NE
NPI
1427396548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.003637)
Enumeration Date
2013-01-24
Last Update Date
2013-01-24
Business Address
Miss AMANDA FARRIS COTA/L
13609 CALIFORNIA ST C&A PLAZA, SUITE 200
OMAHA, NE 68154-5260
Phone number: 402-891-1118
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Mailing Address
Miss AMANDA FARRIS COTA/L
2712 ARLENE DR
URBANA, IL 61802-7682
Phone number:
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