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1609597871
AMANDA K THATE
SPRINGFIELD, IL
NPI
1609597871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
AMANDA K THATE PA-C
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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Mailing Address
AMANDA K THATE PA-C
PO BOX 9469
SPRINGFIELD, IL 62791-9469
Phone number: 217-547-9100
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