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Individual

AMANDA N CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2660 SW 53RD LN, GAINESVILLE, FL 32608-3981
(352) 548-1141
(352) 548-1139
Mailing address
2660 SW 53RD LN, GAINESVILLE, FL 32608-3981
(352) 548-1141
(352) 548-1139

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9511054
FL

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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