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1598049421
AMANDA MARIE BANNISTER
FULTON, NY
NPI
1598049421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 020261-1)
Enumeration Date
2011-10-11
Last Update Date
2014-10-23
Business Address
MRS. AMANDA MARIE BANNISTER M.A., LIC./CCC-SLP
2592 STATE ROUTE 3
FULTON, NY 13069-4852
Phone number: 315-593-5570
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Mailing Address
MRS. AMANDA MARIE BANNISTER M.A., LIC./CCC-SLP
8162 AVOSS LN
CLAY, NY 13041-8965
Phone number: 315-593-5570
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