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1043747579
AMANDA JO PRESTIGIACOMO
TWIN FALLS, ID
NPI
1043747579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 55632)
Enumeration Date
2017-05-15
Last Update Date
2021-04-08
Business Address
Mrs. AMANDA JO PRESTIGIACOMO FNP-C
350 N HAVEN DR
TWIN FALLS, ID 83301-5788
Phone number: 208-904-4780
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Mailing Address
Mrs. AMANDA JO PRESTIGIACOMO FNP-C
PO BOX 268934
OKLAHOMA CITY, OK 73126-8934
Phone number: 208-904-4780
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