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Individual

AMANDA N MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008607
IL
363A00000X
Physician Assistant
10001863A
IN
363AS0400X
Surgical Physician Assistant
10001863A
IN
363AS0400X
Surgical Physician Assistant
28204248A
IN
363AS0400X
Surgical Physician Assistant
Primary
4048
WI

Other

Enumeration date
06/18/2015
Last updated
06/24/2025
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