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1689123010
AMANDA N MCCORMICK
MODESTO, CA
NPI
1689123010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005992)
Enumeration Date
2016-09-27
Last Update Date
2023-12-11
Business Address
AMANDA N MCCORMICK PA-C
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: 510-350-2808
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Mailing Address
AMANDA N MCCORMICK PA-C
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: 510-350-2808
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