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Individual
MRS. AMANDA L CONKLIN
Active
Individual
MRS. AMANDA L CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3651
SC
133V00000X
Registered Dietitian
DN004677
PA
133V00000X
Registered Dietitian
L006492
NC
133V00000X
Registered Dietitian
Primary
ND10545
FL
Other
Enumeration date
01/26/2012
Last updated
06/01/2026
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