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1710192075
AMANDA D PALUMBO
MOORE, OK
NPI
1710192075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1625)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- AMANDA D PALUMBO PA
700 S TELEPHONE RD
MOORE, OK 73160-2502
Phone number: 405-793-9355
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Mailing Address
-- AMANDA D PALUMBO PA
22722 STATE HIGHWAY 74
PURCELL, OK 73080-6953
Phone number: 405-802-3905
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