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1750859328
AMANDA LEE RUSSELL
BALLSTON SPA, NY
NPI
1750859328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 004337-1)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
AMANDA LEE RUSSELL
87 DIVISION ST
BALLSTON SPA, NY 12020-1006
Phone number: 518-885-2951
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Mailing Address
AMANDA LEE RUSSELL
87 DIVISION ST
BALLSTON SPA, NY 12020-1006
Phone number: 518-885-2951
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