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1902286479
AMANDA SCHNIERLE LARSEN
FAIRFIELD, CA
NPI
1902286479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 21099)
Enumeration Date
2015-05-31
Last Update Date
2015-05-31
Business Address
-- AMANDA SCHNIERLE LARSEN CCC-SLP
707 KENTUCKY ST
FAIRFIELD, CA 94533-5515
Phone number: 707-759-3716
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Mailing Address
-- AMANDA SCHNIERLE LARSEN CCC-SLP
8400 FUTURITY CT
ANTELOPE, CA 95843-5051
Phone number: 916-708-7472
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