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1740951128
AMANDA MICHELLE WASSENAAR
RAPID CITY, SD
NPI
1740951128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246QM0706X Spec/Tech, Pathology, Medical Technologist
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
AMANDA MICHELLE WASSENAAR MLS
3200 CANYON LAKE DR STE 1
RAPID CITY, SD 57702-8114
Phone number: 605-355-2227
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Mailing Address
AMANDA MICHELLE WASSENAAR MLS
5260 BASSWOOD ST
RAPID CITY, SD 57703-6500
Phone number: 605-390-6465
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