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1699163014
AMANDA QUALLS
ATHENS, AL
NPI
1699163014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL F1214564)
Enumeration Date
2015-01-07
Last Update Date
2015-01-07
Business Address
-- AMANDA QUALLS
1005 W MARKET ST
ATHENS, AL 35611-2454
Phone number: 256-232-0801
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Mailing Address
-- AMANDA QUALLS
1005 W MARKET ST
ATHENS, AL 35611-2454
Phone number: 256-232-0801
Copy
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