Individual
AMANDA JO SEALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 S 15TH ST STE 206, COSHOCTON, OH 43812-1875
(740) 622-1200
Mailing address
5727 CLAY PIKE RD, CAMBRIDGE, OH 43725-9367
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.022208
OH
Other
Enumeration date
07/04/2017
Last updated
03/17/2018
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