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Individual

MRS. AMANDA GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-FNP-C

Contact information

Practice address
801 EARLY BLVD STE 200, EARLY, TX 76802-2179
(325) 430-0000
Mailing address
801 EARLY BLVD STE 200, EARLY, TX 76802-2179
(325) 430-0000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140926
TX

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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