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1972817468
AMANDA RAY
CHICAGO, IL
NPI
1972817468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008019)
Enumeration Date
2010-07-27
Last Update Date
2010-07-27
Business Address
-- AMANDA RAY APN
5625 N RIDGE AVE
CHICAGO, IL 60660-3434
Phone number: 866-825-3227
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Mailing Address
-- AMANDA RAY APN
161 WASHINGTON STREET, 14TH FLOOR EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 19428
Phone number: 866-825-3227
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