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1902686405
AMANDA HUERTA
DELAVAN, WI
NPI
1902686405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 500605)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
AMANDA HUERTA
1121 SEQUOIA ST
DELAVAN, WI 53115-1513
Phone number: 262-325-6117
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Mailing Address
AMANDA HUERTA
1121 SEQUOIA ST
DELAVAN, WI 53115-1513
Phone number: 262-325-6117
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