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1215900048
AMANDA JEAN ELDER
TULSA, OK
NPI
1215900048
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Former Name
AMANDA JEAN ROMINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1429)
Enumeration Date
2006-02-10
Last Update Date
2016-07-22
Business Address
-- AMANDA JEAN ELDER PAC
1705 E 19TH ST SUITE 302
TULSA, OK 74104-5405
Phone number: 918-748-7585
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Mailing Address
-- AMANDA JEAN ELDER PAC
PO BOX 25277
OVERLAND PARK, KS 66225-5277
Phone number: 918-307-6920
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