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1003193202
AMANDA LYN FIDIAM
MOOSIC, PA
NPI
1003193202
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Former Name
AMANDA LYN BECK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA055142)
Enumeration Date
2011-11-16
Last Update Date
2014-09-04
Business Address
Mrs. AMANDA LYN FIDIAM PA-C
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1782
Phone number: 570-346-3686
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Mailing Address
Mrs. AMANDA LYN FIDIAM PA-C
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1782
Phone number: 570-346-3686
Copy
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