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Individual

AMANDA LYNNE GARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
112 CLOVER LN, HANOVER, PA 17331-4321
(717) 637-7812
(717) 637-5893
Mailing address
100 PENN ST STE D, HANOVER, PA 17331-1956
(717) 632-0774
(717) 633-5816

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064658
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA064658
PENNSYLVANIA STATE LICENSE
PA
Enumeration date
07/24/2023
Last updated
01/30/2025
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