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Individual
AMANDA KOOB
Active
Individual
AMANDA KOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
232430
LA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
232430
LA
Other
Enumeration date
10/02/2023
Last updated
11/28/2023
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