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1588449318
AMANDA NICKELS
MIDVALE, UT
NPI
1588449318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-29
Last Update Date
2024-08-19
Business Address
AMANDA NICKELS PA
7864 S SUMMER STATION WAY
MIDVALE, UT 84047-5723
Phone number: 907-687-1015
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Mailing Address
AMANDA NICKELS PA
7864 S SUMMER STATION WAY
MIDVALE, UT 84047-5723
Phone number: 907-687-1015
Copy
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