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Individual

AMANDA SUE MCGEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 DAKOTA CT, TRAVIS AFB, CA 94535-1600
(501) 247-6258
Mailing address
225 DAKOTA CT, TRAVIS AFB, CA 94535-1600
(501) 247-6258

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1822858
TX
1710I1003X
Independent Duty Medical Technicians

Other

Enumeration date
12/02/2014
Last updated
12/05/2014
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