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1922055169
AMANDA L GENTRY
CHESAPEAKE, VA
NPI
1922055169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-05-30
Last Update Date
2009-01-07
Business Address
-- AMANDA L GENTRY IDC
100 ALFRED LOOP APT 201
CHESAPEAKE, VA 23320-3059
Phone number: 979-256-9452
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Mailing Address
-- AMANDA L GENTRY IDC
2489 FM 2187 RD
SEALY, TX 77474-8438
Phone number:
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