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1083806103
AMANDA PROUTY
WYLIE, TX
NPI
1083806103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2007-08-13
Last Update Date
2010-09-04
Business Address
AMANDA PROUTY CPM, LM
1615 RIDGECOVE DR
WYLIE, TX 75098-8186
Phone number: 972-533-6190
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Mailing Address
AMANDA PROUTY CPM, LM
1615 RIDGECOVE DR
WYLIE, TX 75098-8186
Phone number: 972-533-6190
Copy
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