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1609143411
AMANDA G. OLSEN
LUMBERTON, NC
NPI
1609143411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.200488)
Enumeration Date
2011-11-22
Last Update Date
2013-11-15
Business Address
-- AMANDA G. OLSEN PA
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5032
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Mailing Address
-- AMANDA G. OLSEN PA
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5032
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