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1740558766
AMANDA PAYTON MODY
BALLSTON LAKE, NY
NPI
1740558766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Additional Taxonomies
163W00000X Registered Nurse
(Licence: NY 751566)
Enumeration Date
2011-12-05
Last Update Date
2021-10-13
Business Address
AMANDA PAYTON MODY M.S.ed, R.N.
4 FLORENCE AVE
BALLSTON LAKE, NY 12019-2717
Phone number: 518-577-1222
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Mailing Address
AMANDA PAYTON MODY M.S.ed, R.N.
4 FLORENCE AVE
BALLSTON LAKE, NY 12019-2717
Phone number: 518-577-1222
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