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Individual

AMANDA EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
329 HEATHER ST, ENGLEWOOD, OH 45322-1217
(937) 304-1696
Mailing address
329 HEATHER ST, ENGLEWOOD, OH 45322-1217
(937) 304-1696

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.155464.MEDS-IV
OH

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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