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1164971560
AMANDA MADRID
STANSBURY PARK, UT
NPI
1164971560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10097228-1206)
Enumeration Date
2016-09-26
Last Update Date
2021-11-18
Business Address
Ms. AMANDA MADRID PA-C
220 MILLPOND
STANSBURY PARK, UT 84074-9745
Phone number: 435-843-3096
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Mailing Address
Ms. AMANDA MADRID PA-C
1603 W BRIGADOON PARK DR
WEST JORDAN, UT 84088-6598
Phone number: 801-647-9278
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