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Individual

AMANDA L COOK-GROOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
244 POLLEY RD, WINCHESTER, OH 45697-9786
(937) 725-4275
Mailing address
244 POLLEY RD, WINCHESTER, OH 45697-9786
(937) 725-4274

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0033413
OH

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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