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1780434936
AMANDA ELIZABETH BRODEUR
LOS ANGELES, CA
NPI
1780434936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
AMANDA ELIZABETH BRODEUR DO
1200 N STATE ST CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Phone number: 323-409-7053
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Mailing Address
AMANDA ELIZABETH BRODEUR DO
9707 MARBY GRANGE WAY
BAKERSFIELD, CA 93312-5609
Phone number: 312-659-6678
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