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Individual

DR. AMANDA MALTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
401 S STATE ST, DENVER, IA 50622-7715
(512) 534-5740
Mailing address
PO BOX 221, NASHUA, IA 50658-0221
(512) 534-5740

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007412
IA
111N00000X
Chiropractor
11756
TX

Other

Enumeration date
09/22/2011
Last updated
09/04/2012
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