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Individual
AMANDA JEAN NEDERVELT
Active
Individual
AMANDA JEAN NEDERVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37733
SC
207R00000X
Internal Medicine Physician
DO.1638
AL
207R00000X
Internal Medicine Physician
OS13103
FL
Other
Enumeration date
04/25/2014
Last updated
01/19/2017
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