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AMANDA LEE UPDYKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
95 NORTH MAIN STREET SUITE 104, WELLSVILLE, NY 14895-9722
(585) 610-8604
(585) 593-9411
Mailing address
95 NORTH MAIN ST. SUITE 104, WELLSVILLE, NY 14895-1029
(585) 610-8604
(585) 593-9411

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298497-1
NY

Other

Enumeration date
10/20/2009
Last updated
12/11/2012
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