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Individual

MRS. AMANDA NICOLE GINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
40 HAMILTON BR, VANCEBURG, KY 41179-6307
(606) 796-9274
Mailing address
40 HAMILTON BR, VANCEBURG, KY 41179-6307
(606) 796-9274

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY

Other

Enumeration date
02/19/2013
Last updated
02/19/2013
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