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Individual

MISS AMANDA LYNETTE MILHOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.T.

Contact information

Practice address
318 W CHURCH ST, SHERIDAN, AR 72150-2113
(870) 917-8650
Mailing address
318 W CHURCH ST, SHERIDAN, AR 72150-2113
(870) 917-8650

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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