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1154515443
AMANDA PACE YOUTH
GREENSBORO, NC
NPI
1154515443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 165673)
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business Address
-- AMANDA PACE YOUTH CRNA
1211 VIRGINIA ST
GREENSBORO, NC 27401-1313
Phone number: 336-272-0101
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Mailing Address
-- AMANDA PACE YOUTH CRNA
PO BOX 29343
GREENSBORO, NC 27429-9343
Phone number: 336-272-0101
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