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1700401429
AMANDA SUE MANSFIELD
APPLETON, WI
NPI
1700401429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5713-27)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
AMANDA SUE MANSFIELD OTA
1506 S ONEIDA ST
APPLETON, WI 54915-1305
Phone number: 920-738-2872
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Mailing Address
AMANDA SUE MANSFIELD OTA
1506 S ONEIDA ST
APPLETON, WI 54915-1305
Phone number: 920-738-2872
Copy
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