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1811544414
AMANDA RAE SMITH
IDAHO FALLS, ID
NPI
1811544414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
AMANDA RAE SMITH
105 CLUBHOUSE CIR APT 102
IDAHO FALLS, ID 83401-4328
Phone number: 208-709-6986
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Mailing Address
AMANDA RAE SMITH
105 CLUBHOUSE CIR APT 102
IDAHO FALLS, ID 83401-4328
Phone number: 208-709-6986
Copy
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