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1508377060
AMANDA SUE DAVIS
PHILADELPHIA, PA
NPI
1508377060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-10-23
Last Update Date
2019-08-21
Business Address
Miss AMANDA SUE DAVIS
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130-2908
Phone number: 215-235-9600
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Mailing Address
Miss AMANDA SUE DAVIS
1412-22 FAIRMOUNT AVENUE
PHILADELPHIA, PA 19130-2908
Phone number: 215-684-5344
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