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1780247999
AMANDA KAY BOURKE
SANTA ROSA, CA
NPI
1780247999
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Former Name
AMANDA KAY SOUTHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
AMANDA KAY BOURKE BA
703 2ND ST STE 106
SANTA ROSA, CA 95404-6505
Phone number: 866-206-2008
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Mailing Address
AMANDA KAY BOURKE BA
808 NONIE ST
SANTA ROSA, CA 95403-2018
Phone number: 707-400-7057
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