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Individual

AMANDA G MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2188 SANDY DR, STATE COLLEGE, PA 16803-2288
(814) 237-6600
(814) 237-5383
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7100
(814) 238-0790

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14830
NC
363A00000X
Physician Assistant
Primary
MA060569
PA
363A00000X
Physician Assistant
OA004795
PA

Other

Enumeration date
05/07/2019
Last updated
07/31/2026
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