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1861047425
AMANDA KAVANAUGH
WENATCHEE, WA
NPI
1861047425
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Former Name
AMANDA ROY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60938355)
Enumeration Date
2019-08-09
Last Update Date
2022-02-03
Business Address
AMANDA KAVANAUGH PAC
1201 S MILLER ST
WENATCHEE, WA 98801-3201
Phone number: 509-663-8711
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Mailing Address
AMANDA KAVANAUGH PAC
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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