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1619741618
AMANDA WONG
AUSTIN, TX
NPI
1619741618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1129842)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
AMANDA WONG
1101 CAMINO LA COSTA
AUSTIN, TX 78752-3930
Phone number: 512-478-4939
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Mailing Address
AMANDA WONG
2325 BRAVO CT
LEANDER, TX 78641-4180
Phone number: 512-584-5899
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BELLAMORA HOLISTIC THERAPEUTIC SOLUTIONS LLC