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1023431814
AMANDA VAGELATOS
HAMMOND, IN
NPI
1023431814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28189650A)
Enumeration Date
2014-01-29
Last Update Date
2023-10-02
Business Address
AMANDA VAGELATOS NP-C
2250 173RD ST
HAMMOND, IN 46323-2074
Phone number: 765-494-0111
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Mailing Address
AMANDA VAGELATOS NP-C
2250 173RD ST
HAMMOND, IN 46323-2074
Phone number: 765-494-0111
Copy
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