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1821651878
AMANDA JOY LAPRADD
SAN DIEGO, CA
NPI
1821651878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
AMANDA JOY LAPRADD IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
AMANDA JOY LAPRADD IDC
2005 CHELSEA ST
PORTSMOUTH, VA 23704-1503
Phone number: 757-556-4003
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