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Individual
MISS AMY SAMANTHA KORDEK
Active
Individual
MISS AMY SAMANTHA KORDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R173769
MD
Other
Enumeration date
11/10/2010
Last updated
10/15/2012
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