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1336742741
AMANDA POTUCEK
PHOENIX, AZ
NPI
1336742741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ CNP-250118)
Enumeration Date
2020-11-18
Last Update Date
2021-04-09
Business Address
AMANDA POTUCEK NP
1331 N 7TH ST STE 375
PHOENIX, AZ 85006-2707
Phone number: 602-307-0070
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Mailing Address
AMANDA POTUCEK NP
1331 N 7TH ST STE 375
PHOENIX, AZ 85006-2707
Phone number: 602-307-0070
Copy
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