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1861914483
AMANDA CATHLEEN SMITH
DEKALB, IL
NPI
1861914483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.016106)
Enumeration Date
2017-07-14
Last Update Date
2022-07-21
Business Address
AMANDA CATHLEEN SMITH FNP-BC
1 KISH HOSPITAL DRIVE SUITE 212
DEKALB, IL 60115
Phone number: 815-754-1190
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Mailing Address
AMANDA CATHLEEN SMITH FNP-BC
1 KISH HOSPITAL DR STE 212
DEKALB, IL 60115-9602
Phone number: 815-754-1190
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