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1538832944
AMANDA LARSON
GREENWOOD, IN
NPI
1538832944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71011379A)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
AMANDA LARSON
3154 S STATE ROAD 135
GREENWOOD, IN 46143-9609
Phone number: 317-941-7338
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Mailing Address
AMANDA LARSON
2445 DIRECTORS ROW STE C
INDIANAPOLIS, IN 46241-4936
Phone number: 317-941-7338
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