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1720339096
AMANDA KAY BROUGHTON
PERU, IN
NPI
1720339096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-27
Last Update Date
2012-12-26
Business Address
AMANDA KAY BROUGHTON BS
655 E MAIN ST
PERU, IN 46970-2662
Phone number: 765-472-1931
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Mailing Address
AMANDA KAY BROUGHTON BS
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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