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1831698208
AMANDA DAWN MAXWELL
SAN ANTONIO, TX
NPI
1831698208
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Former Name
AMANDA DAWN JENDRZEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 188942)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
AMANDA DAWN MAXWELL LVN
7330 SAN PEDRO AVE STE 800
SAN ANTONIO, TX 78216-6268
Phone number: 210-737-8090
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Mailing Address
AMANDA DAWN MAXWELL LVN
13810 LARAMIE HL
LIVE OAK, TX 78233-5385
Phone number: 210-323-7184
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