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1417295601
AMANDA MICHELLE LAUDERBACK
ATLANTA, GA
NPI
1417295601
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Former Name
AMANDA MICHELLE BICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: GA RN186980)
Enumeration Date
2013-01-22
Last Update Date
2021-02-08
Business Address
AMANDA MICHELLE LAUDERBACK NP
275 COLLIER RD NW STE 100C
ATLANTA, GA 30309-1700
Phone number: 404-355-0320
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Mailing Address
AMANDA MICHELLE LAUDERBACK NP
275 COLLIER RD NW STE 100C
ATLANTA, GA 30309-1700
Phone number: 404-355-0320
Copy
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