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1720569130
AMANDA LAUDERDALE
PHOENIX, AZ
NPI
1720569130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 3216)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
AMANDA LAUDERDALE
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
AMANDA LAUDERDALE
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number:
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