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Individual
AMANDA BLAIR SPENCE
Active
Individual
AMANDA BLAIR SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45915
KY
207R00000X
Internal Medicine Physician
MD449519
PA
207RI0200X
Infectious Disease Physician
Primary
MD042937
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/23/2010
Last updated
01/14/2019
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