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1760964563
AMANDA WIRT
DOVER, DE
NPI
1760964563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-29
Last Update Date
2018-10-23
Business Address
AMANDA WIRT
640 S STATE ST
DOVER, DE 19901-3530
Phone number: 302-674-4700
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Mailing Address
AMANDA WIRT
640 S STATE ST
DOVER, DE 19901-3530
Phone number: 302-744-6156
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