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Individual

AMANDA ROSE MCGURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
25 BALA AVE, BALA CYNWYD, PA 19004-3213
(610) 667-6363
Mailing address
25 BALA AVE, BALA CYNWYD, PA 19004-3213
(610) 667-6363

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004334
PA

Other

Enumeration date
01/16/2018
Last updated
01/16/2018
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