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1598388894
AMANDA MARIE HAFNER
LOUISVILLE, KY
NPI
1598388894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC940)
Enumeration Date
2020-05-20
Last Update Date
2020-10-19
Business Address
AMANDA MARIE HAFNER PA-C
200 E CHESTNUT ST BLDG SUITE300
LOUISVILLE, KY 40202-1831
Phone number: 502-629-5552
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Mailing Address
AMANDA MARIE HAFNER PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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