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Individual

MISS AMANDA J WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1410 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 886-6233
(540) 213-7064
Mailing address
1388 5TH ST APT B, WAYNESBORO, VA 22980-4292
(276) 790-2258

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
VA

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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