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1013986215
AMANDA B IMMING
DOTHAN, AL
NPI
1013986215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1102096)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
-- AMANDA B IMMING CRNP
1901 MELBA DRIVE
DOTHAN, AL 36301
Phone number: 334-794-6611
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Mailing Address
-- AMANDA B IMMING CRNP
1901 MELBA DRIVE
DOTHAN, AL 36301
Phone number: 334-794-6611
Copy
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