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Individual
AMANDA HELM
Active
Individual
AMANDA HELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2791
OK
363A00000X
Physician Assistant
9163864-8906
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200712080A
—
OK
Enumeration date
10/10/2014
Last updated
01/26/2021
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