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1245075449
AMANDA RUBY NETTLES
LYNCHBURG, VA
NPI
1245075449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
AMANDA RUBY NETTLES
1501 LAKESIDE DR
LYNCHBURG, VA 24501-3113
Phone number: 434-544-8100
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Mailing Address
AMANDA RUBY NETTLES
1501 LAKESIDE DR
LYNCHBURG, VA 24501-3113
Phone number:
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