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Individual

MRS. AMANDA LYNN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7969
(719) 526-7586
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7969
(719) 526-7586

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
547
NM

Other

Enumeration date
08/31/2006
Last updated
01/28/2013
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