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1013235142
AMANDA LAVON DELSOTO
FAYETTEVILLE, AR
NPI
1013235142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR R71833)
Enumeration Date
2010-05-13
Last Update Date
2010-05-13
Business Address
AMANDA LAVON DELSOTO CRNA
3271 WIMBERLY DR
FAYETTEVILLE, AR 72703-4033
Phone number: 479-713-6100
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Mailing Address
AMANDA LAVON DELSOTO CRNA
PO BOX 1547
SEDALIA, MO 65302-1547
Phone number: 660-826-5960
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