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1235379553
AMANDA VIDAK
CLEVELAND, OH
NPI
1235379553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OH 10463)
Enumeration Date
2009-02-26
Last Update Date
2009-02-26
Business Address
-- AMANDA VIDAK
9500 EUCLID AVE E-19
CLEVELAND, OH 44195-0001
Phone number: 216-636-2174
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Mailing Address
-- AMANDA VIDAK
9500 EUCLID AVE E-19
CLEVELAND, OH 44195-0001
Phone number:
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