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1083133912
AMANDA BOSTOCK SOWISDRAL
WOODSTOCK, GA
NPI
1083133912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-09-12
Last Update Date
2019-01-14
Business Address
AMANDA BOSTOCK SOWISDRAL PA-C
250 PARKBROOKE PL STE 300
WOODSTOCK, GA 30189
Phone number: 770-442-1911
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Mailing Address
AMANDA BOSTOCK SOWISDRAL PA-C
PO BOX 1093
WOODSTOCK, GA 30188-1093
Phone number:
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