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1649864414
AMANDA LYNN COLEMAN
IDAHO FALLS, ID
NPI
1649864414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1972)
Enumeration Date
2021-02-23
Last Update Date
2023-10-29
Business Address
AMANDA LYNN COLEMAN PA-C
2680 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-523-7667
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Mailing Address
AMANDA LYNN COLEMAN PA-C
2680 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-523-7667
Copy
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