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1063844389
AMANDA NICOLE VIRGINIA
DALLAS, TX
NPI
1063844389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 757748)
Enumeration Date
2013-08-09
Last Update Date
2015-05-26
Business Address
-- AMANDA NICOLE VIRGINIA CRNA
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-0355
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Mailing Address
-- AMANDA NICOLE VIRGINIA CRNA
PO BOX 845347
DALLAS, TX 75284-5347
Phone number:
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