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Individual

AMANDA PESTRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3300 E DEERFIELD RD, APT. B361, MOUNT PLEASANT, MI 48858-4535
(810) 623-8488
Mailing address
3300 E DEERFIELD RD, APT. B361, MOUNT PLEASANT, MI 48858-4535
(810) 623-8488

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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