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Organization

PRIVACARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA L JONES NP (OWNER)
(937) 631-4008
Entity
Organization

Contact information

Practice address
1526 UPLANDS DR, SPRINGFIELD, OH 45506-4025
(937) 631-4008
(937) 398-8902
Mailing address
1526 UPLANDS DR, SPRINGFIELD, OH 45506-4025
(937) 631-4008
(937) 398-8902

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
11/30/2015
Last updated
11/14/2016
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