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1013786219
AMANDA MARIA BAHNAM
CLARKSVILLE, TN
NPI
1013786219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA5867)
Enumeration Date
2023-12-28
Last Update Date
2024-04-22
Business Address
AMANDA MARIA BAHNAM Physician Assistant
647 DUNLOP LN STE 210
CLARKSVILLE, TN 37040-5165
Phone number: 931-502-3810
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Mailing Address
AMANDA MARIA BAHNAM Physician Assistant
647 DUNLOP LN STE 210
CLARKSVILLE, TN 37040-5165
Phone number: 931-502-3810
Copy
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