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1619262060
AMANDA FAIR
REDMOND, OR
NPI
1619262060
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Former Name
AMANDA HERRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-06-14
Last Update Date
2020-04-20
Business Address
AMANDA FAIR PA-C
1253 NW CANAL BLVD
REDMOND, OR 97756-1334
Phone number: 541-382-4321
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Mailing Address
AMANDA FAIR PA-C
PO BOX 6096
BEND, OR 97708-6096
Phone number:
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