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Individual

MRS. AMANDA R GRAUPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13700 ST FRANCIS BLVD, # 103, MIDLOTHIAN, VA 23114-3222
(804) 379-2414
Mailing address
13700 ST FRANCIS BLVD, SUITE 103, MIDLOTHIAN, VA 23114-3222
(804) 379-2414
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
07/17/2012
Last updated
06/24/2020
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