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1518094481
AMANDA VIVIAN SANFORD
KODIAK, AK
NPI
1518094481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-27
Last Update Date
2010-09-02
Business Address
-- AMANDA VIVIAN SANFORD
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-1367
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Mailing Address
-- AMANDA VIVIAN SANFORD
1623 MILL BAY RD APT 3
KODIAK, AK 99615-6200
Phone number: 907-486-0478
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