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Individual

AMANDA BETH NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21227 TORCH ST, FT. BLISS, TX 79938
(915) 742-9285
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-1400

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12254
OK

Other

Enumeration date
04/15/2022
Last updated
04/15/2022
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