AMANDA L. SHULL

SPRINGFIELD, IL
NPI1962638130
Former NameAMANDA L. PANKAU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  85003463)
Enumeration Date2009-06-02
Last Update Date2020-05-20
Business Address
AMANDA L. SHULL PA-C
900 N. 1ST STREET
SPRINGFIELD, IL 62702-3749
Phone number: 217-525-0210
Mailing Address
AMANDA L. SHULL PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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