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1306943931
AMANDA WADDELL
PRESTONSBURG, KY
NPI
1306943931
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Former Name
AMANDA PENDLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3003330)
Enumeration Date
2006-09-17
Last Update Date
2016-10-10
Business Address
-- AMANDA WADDELL APRN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- AMANDA WADDELL APRN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Copy
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