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1962018101
AMANDA BROOMHALL
GEORGETOWN, TX
NPI
1962018101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1014431)
Enumeration Date
2020-09-22
Last Update Date
2021-11-19
Business Address
AMANDA BROOMHALL FNP
1507 RIVERY BLVD
GEORGETOWN, TX 78628-3058
Phone number: 512-509-9550
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Mailing Address
AMANDA BROOMHALL FNP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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