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Individual

AMANDA MARIE AGUIRRE-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 971-6065
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 971-6065

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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