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Individual

AMANDA OBRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
43 MACK ST, PLAINS, PA 18705-1206

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674059
PA

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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