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Individual

AMANDA RENEE JURS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
637 DAVISON RD, LOCKPORT, NY 14094-5339
(716) 433-2484
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NY

Other

Enumeration date
11/08/2021
Last updated
11/08/2021
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