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1013178755
AMANDA MCINTOSH
MENTOR, OH
NPI
1013178755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.129839.MEDS-IV)
Enumeration Date
2008-06-24
Last Update Date
2021-10-29
Business Address
AMANDA MCINTOSH LPN
7232 JUSTIN WAY STE A-UP
MENTOR, OH 44060-4881
Phone number: 440-578-8200
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Mailing Address
AMANDA MCINTOSH LPN
7232 JUSTIN WAY STE A-UP
MENTOR, OH 44060-4881
Phone number: 440-578-8200
Copy
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