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Individual

AMANDA GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105365 S HIGHWAY 102, MCLOUD, OK 74851-3051
(405) 964-2081
(405) 964-2217
Mailing address
2103 JENKS AVE, PANAMA CITY, FL 32405-4511
(850) 763-8000
(850) 785-1122

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4628
OK
363AM0700X
Medical Physician Assistant
PAT9108872
FL

Other

Enumeration date
08/20/2015
Last updated
08/10/2023
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