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1194495168
AMANDA LAUREN MATTINGLY
CAMPBELLSVILLE, KY
NPI
1194495168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3016505)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
AMANDA LAUREN MATTINGLY APRN
102 WINSTON WAY
CAMPBELLSVILLE, KY 42718-4990
Phone number: 270-789-0034
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Mailing Address
AMANDA LAUREN MATTINGLY APRN
4770 SAINT ROSE RD
LEBANON, KY 40033-9167
Phone number: 270-692-8759
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