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1588168959
AMANDA ROSE MC KANNON
SAN JOSE, CA
NPI
1588168959
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Former Name
AMANDA ROSE MCLEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-21
Last Update Date
2019-05-02
Business Address
AMANDA ROSE MC KANNON
1479 SARATOGA AVE
SAN JOSE, CA 95129-4934
Phone number: 877-991-0009
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Mailing Address
AMANDA ROSE MC KANNON
1485 SARATOGA AVE STE 200
SAN JOSE, CA 95129-4965
Phone number: 877-991-0009
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