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1386420644
AMANDA FULLER
BINGHAMTON, NY
NPI
1386420644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405205)
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
AMANDA FULLER
33 MITCHELL AVE
BINGHAMTON, NY 13903-1642
Phone number: 607-762-2340
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Mailing Address
AMANDA FULLER
9 BRADLEY ST
OWEGO, NY 13827-1701
Phone number: 607-343-9753
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