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1710263728
AMANDA J SMITH
SAINT PAUL, MN
NPI
1710263728
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Former Name
AMANDA COLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11358)
Enumeration Date
2011-10-24
Last Update Date
2021-07-27
Business Address
AMANDA J SMITH PA-C
640 JACKSON ST
SAINT PAUL, MN 55101
Phone number: 651-254-2987
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Mailing Address
AMANDA J SMITH PA-C
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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