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Individual
AMANDA YVETTE NAGEL
Active
Individual
AMANDA YVETTE NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P160855285
WA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
60855285
WA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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