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1710322532
AMANDA DISTEFANO
OMAHA, NE
NPI
1710322532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NE 1670)
Enumeration Date
2013-05-07
Last Update Date
2024-11-20
Business Address
AMANDA DISTEFANO SLP
13336 INDUSTRIAL RD SUITE 105
OMAHA, NE 68137-1124
Phone number: 402-330-3211
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Mailing Address
AMANDA DISTEFANO SLP
5717 S 112TH ST
OMAHA, NE 68137-3652
Phone number: 402-715-2955
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