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1548962855
AMANDA LIDGARD
FORT MYERS, FL
NPI
1548962855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2024-08-09
Business Address
Dr. AMANDA LIDGARD DO
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901-5857
Phone number: 239-343-3831
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Mailing Address
Dr. AMANDA LIDGARD DO
5840 ENGLISH OAKS LN
NAPLES, FL 34119-1332
Phone number:
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