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1780081018
AMANDA MICHELLE NORTHERN
PORTSMOUTH, VA
NPI
1780081018
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Former Name
AMANDA FALES SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024172143)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
Mrs. AMANDA MICHELLE NORTHERN NP-c
3600 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-215-3100
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Mailing Address
Mrs. AMANDA MICHELLE NORTHERN NP-c
3600 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-215-3100
Copy
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