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1710124177
AMANDA SUSAN MARINE
ALTOONA, IA
NPI
1710124177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IA 001851)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
AMANDA SUSAN MARINE ST
612 8TH ST SW
ALTOONA, IA 50009-2301
Phone number: 515-967-4124
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Mailing Address
AMANDA SUSAN MARINE ST
PO BOX 461
NEVADA, IA 50201-0461
Phone number: 515-382-3366
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