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Individual
DR. AMANDA L DUGAL
Active
Individual
DR. AMANDA L DUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05129587
IL
183500000X
Pharmacist
1-14895
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051295287
IL REGISTERED PHARMACIST LICENSE
IL
01
—
1-14895
KS PHARMACIST STATE LICENSE
KS
Enumeration date
09/01/2016
Last updated
09/01/2016
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