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1548527161
LISA AMUNDSON
PORT ORANGE, FL
NPI
1548527161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 9679)
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
LISA AMUNDSON
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
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Mailing Address
LISA AMUNDSON
6816 RAY RD
RALEIGH, NC 27613-3237
Phone number: 386-756-4395
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