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Individual

AMANDA LOYLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
133 KELLEY RD, BAINBRIDGE, GA 39817-6775
(229) 220-6793
Mailing address
133 KELLEY RD, BAINBRIDGE, GA 39817-6775
(229) 220-6793

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN231706
GA

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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