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Individual

AMANDA NICOLE HARVARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4800 S SAGINAW ST, FLINT, MI 48507-2677
(810) 213-8144
Mailing address
1175 EDGEWOOD DR, ORTONVILLE, MI 48462-9301
(248) 672-6755

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011389
MI

Other

Enumeration date
02/14/2022
Last updated
03/15/2023
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