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Individual

AMANDA PICERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 715-8700
Mailing address
PO BOX 9788, BELFAST, ME 04915-9788

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07017
NC

Other

Enumeration date
01/13/2017
Last updated
02/06/2017
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