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Individual

MRS. AMANDA MAE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7854 W MANSFIELD PKWY APT 6-201, LAKEWOOD, CO 80235-1987
(303) 989-2501
Mailing address
7854 W MANSFIELD PKWY APT 6-201, LAKEWOOD, CO 80235-1987
(303) 989-2501

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0055235
OK
164W00000X
Licensed Practical Nurse
Primary
46819
CO

Other

Enumeration date
01/26/2010
Last updated
01/26/2010
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