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1942777107
AMANDA FAIRBANKS
LONGVIEW, WA
NPI
1942777107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60904653)
Enumeration Date
2018-10-25
Last Update Date
2019-11-07
Business Address
AMANDA FAIRBANKS
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
AMANDA FAIRBANKS
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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