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Individual
AMANDA L BAUER
Active
Individual
AMANDA L BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.372194
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209.014196
IL
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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