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1902634884
AMANDA SLACK
BUFFALO, NY
NPI
1902634884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 354278)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
AMANDA SLACK NP
835 HOPKINS RD
BUFFALO, NY 14221-2322
Phone number: 716-688-5131
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Mailing Address
AMANDA SLACK NP
1951 SALT RD
FAIRPORT, NY 14450-9145
Phone number: 585-727-5844
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