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1831867456
AMANDA FOUNTAIN
COLUMBIA, SC
NPI
1831867456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
AMANDA FOUNTAIN
825 WINSHAM DR
COLUMBIA, SC 29229-7460
Phone number: 803-743-7054
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Mailing Address
AMANDA FOUNTAIN
1460 OAKCREST DR APT 1724
COLUMBIA, SC 29223-1744
Phone number:
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