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1699156943
AMANDA LEEANN ETHERIDGE
LOMA LINDA, CA
NPI
1699156943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 145435)
Enumeration Date
2015-06-12
Last Update Date
2018-06-19
Business Address
Dr. AMANDA LEEANN ETHERIDGE M.D.
11234 ANDERSON ST
LOMA LINDA, CA 92354
Phone number: 618-599-9904
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Mailing Address
Dr. AMANDA LEEANN ETHERIDGE M.D.
1498 BROOKSIDE AVE APT A-103
REDLANDS, CA 92373-4454
Phone number: 618-599-9904
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