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1578938163
AMANDA LEIGH CLARK
PETERSTOWN, WV
NPI
1578938163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001133)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
Mrs. AMANDA LEIGH CLARK COTA/L
218 MILL HILL ACRES DR
PETERSTOWN, WV 24963-9797
Phone number: 540-420-7025
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Mailing Address
Mrs. AMANDA LEIGH CLARK COTA/L
218 MILL HILL ACRES DR
PETERSTOWN, WV 24963-9797
Phone number:
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