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1528386489
AMANDA BROOKE LAVIN
PHILADELPHIA, PA
NPI
1528386489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA053731)
Enumeration Date
2010-05-17
Last Update Date
2014-01-02
Business Address
Ms. AMANDA BROOKE LAVIN PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9559
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Mailing Address
Ms. AMANDA BROOKE LAVIN PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9559
Copy
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