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1871226563
AMANDA FAITH BOONE
MADISONVILLE, TX
NPI
1871226563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1082967)
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
AMANDA FAITH BOONE
2006 E MAIN ST
MADISONVILLE, TX 77864-2216
Phone number: 936-225-4961
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Mailing Address
AMANDA FAITH BOONE
30000 FM RD 2978 618
MAGNOLIA, TX 77354
Phone number: 434-996-8758
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