Individual
MRS. AMANDA G PUMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COLUMBUS AVE, LEBANON, OH 45036-8330
(513) 932-7951
(513) 932-9664
Mailing address
110 N MAIN ST, DAYTON, OH 45402-1795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13914-NP
OH
Other
Enumeration date
09/27/2012
Last updated
01/24/2017
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