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1639941420
AMANDA SOPER
WATERTOWN, NY
NPI
1639941420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: NY 456879)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
AMANDA SOPER
211 JB WISE PL
WATERTOWN, NY 13601-2507
Phone number: 315-782-7445
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Mailing Address
AMANDA SOPER
1704 STATE ST
WATERTOWN, NY 13601-3102
Phone number: 315-782-7445
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