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1407205354
AMANDA MANSOURI
AUSTIN, TX
NPI
1407205354
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Former Name
AMANDA LEILAH DEBUHR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: TN 62255)
Enumeration Date
2016-06-10
Last Update Date
2023-06-19
Business Address
Dr. AMANDA MANSOURI M.D.
4701 MONTEREY OAKS BLVD APT 325 NOT A PHYSICAL LOCATION
AUSTIN, TX 78749-1083
Phone number: 865-274-1074
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Mailing Address
Dr. AMANDA MANSOURI M.D.
4701 MONTEREY OAKS BLVD APT 325
AUSTIN, TX 78749-1083
Phone number:
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