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1760104590
AMANDA MICHELE WILSON
GADSDEN, AL
NPI
1760104590
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Former Name
AMANDA MICHELE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-155376)
Enumeration Date
2022-09-19
Last Update Date
2024-08-15
Business Address
AMANDA MICHELE WILSON
1007 GOODYEAR AVE
GADSDEN, AL 35903-1100
Phone number: 256-494-4000
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Mailing Address
AMANDA MICHELE WILSON
205 OWENS DR
GADSDEN, AL 35904-7161
Phone number: 256-717-7175
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