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1720580376
AMANDA L SHAFER
KENNESAW, GA
NPI
1720580376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN225303)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
AMANDA L SHAFER
3250 QUICK WATER LNDG NW
KENNESAW, GA 30144-4225
Phone number: 404-857-9575
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Mailing Address
AMANDA L SHAFER
3236 GREENFIELD DR
MARIETTA, GA 30068-3219
Phone number: 404-857-9575
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