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Individual

AMANDA RADOCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(801) 740-2847
Mailing address
307 LIBERTY ST, ALPENA, MI 49707-3137
(989) 619-1788

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284612
MI

Other

Enumeration date
01/22/2020
Last updated
11/21/2022
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