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Individual

AMANDA LEE ALLSTOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1166 S GILBERT RD, GILBERT, AZ 85296-3460
(480) 341-2286
Mailing address
1418 N BRITTANY LN, GILBERT, AZ 85233-1503

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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