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1902169089
AMANDA M LIBAK
INDIANAPOLIS, IN
NPI
1902169089
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Former Name
AMANDA M NICHOLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
-- AMANDA M LIBAK PT
6810 SHORE TER
INDIANAPOLIS, IN 46254-4661
Phone number: 317-290-1177
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Mailing Address
-- AMANDA M LIBAK PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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