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1619326717
AMANDA PORTRA
BISMARCK, ND
NPI
1619326717
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Former Name
AMANDA SWOPE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 1504)
Enumeration Date
2016-06-09
Last Update Date
2019-10-30
Business Address
AMANDA PORTRA M.S., CCC-SLP
4530 NORTHERN SKY DR
BISMARCK, ND 58503-8534
Phone number: 701-751-6336
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Mailing Address
AMANDA PORTRA M.S., CCC-SLP
1511 SHARLOH LOOP APT B
BISMARCK, ND 58501-7822
Phone number: 701-751-6336
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