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Individual

AMANDA GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1455 W 16TH ST STE A, YUMA, AZ 85364-8921
(928) 510-0899
(928) 447-2501
Mailing address
1455 W 16TH ST STE A, YUMA, AZ 85364-8921
(928) 510-0899
(928) 447-2501

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3680
AZ

Other

Enumeration date
10/09/2007
Last updated
07/01/2024
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