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1790664142
AMANDA M FAGAN
GARDNER, IL
NPI
1790664142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: IL 000828467)
Enumeration Date
2025-08-29
Last Update Date
2025-08-29
Business Address
AMANDA M FAGAN
206 DEPOT ST
GARDNER, IL 60424-9441
Phone number: 815-557-0980
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Mailing Address
AMANDA M FAGAN
684 CIRCLE DR
COAL CITY, IL 60416-4003
Phone number:
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