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1801389010
AMANDA ELAINE LA BONTE
LONGVIEW, WA
NPI
1801389010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 398512)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
AMANDA ELAINE LA BONTE OTR/L
1035 11TH AVE
LONGVIEW, WA 98632-2505
Phone number: 360-425-8510
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Mailing Address
AMANDA ELAINE LA BONTE OTR/L
5055 NE ELLIOTT CIR UNIT 91
CORVALLIS, OR 97330-9414
Phone number: 541-286-7660
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