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Individual

MRS. AMANDA LEE ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
201 E CENTRAL TEXAS EXPY STE 200, HARKER HEIGHTS, TX 76548-2777
(254) 553-5901
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339681
TX

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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