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1659944098
AMY ELAINE ANDERSON
LEO, IN
NPI
1659944098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT21706349)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
Mrs. AMY ELAINE ANDERSON LMT
14425 LEO RD
LEO, IN 46765-9407
Phone number: 260-615-8219
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Mailing Address
Mrs. AMY ELAINE ANDERSON LMT
325 W WALLEN RD
FORT WAYNE, IN 46825-2225
Phone number: 260-615-8219
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