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1548773146
AMANDA ROSE PORTER
BROOKLET, GA
NPI
1548773146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: ALPP207699)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
AMANDA ROSE PORTER CLC
216 SARA BETH DR
BROOKLET, GA 30415-8212
Phone number: 912-690-3144
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Mailing Address
AMANDA ROSE PORTER CLC
216 SARA BETH DR
BROOKLET, GA 30415-8212
Phone number: 912-690-3144
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