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1801360086
AMANDA NUCKOLS
SYLVANIA, OH
NPI
1801360086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.022931)
Enumeration Date
2019-01-22
Last Update Date
2023-11-03
Business Address
AMANDA NUCKOLS APRN-CNP
5308 HARROUN RD STE 55
SYLVANIA, OH 43560-2174
Phone number: 419-824-6599
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Mailing Address
AMANDA NUCKOLS APRN-CNP
107 CLAYTON ST
WALBRIDGE, OH 43465-1404
Phone number: 419-280-1828
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