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1699018226
AMANDA QUEEN BURKS
LOUISVILLE, KY
NPI
1699018226
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Former Name
AMANDA CATHERINE QUEEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007923)
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
Mrs. AMANDA QUEEN BURKS
9080 TAYLORSVILLE RD
LOUISVILLE, KY 40299-1750
Phone number: 502-499-9998
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Mailing Address
Mrs. AMANDA QUEEN BURKS
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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