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1770047474
AMANDA M SMITH
MILWAUKEE, WI
NPI
1770047474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 9012)
Enumeration Date
2019-01-27
Last Update Date
2020-01-08
Business Address
AMANDA M SMITH
9200 W. WISCONSIN AVE 5TH FLOOR PAVILLION, 515 AP
MILWAUKEE, WI 53226
Phone number: 414-805-9959
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Mailing Address
AMANDA M SMITH
9200 W. WISCONSIN AVE 5TH FLOOR PAVILLION, 515 AP
MILWAUKEE, WI 53226
Phone number: 414-805-9959
Copy
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