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1982151148
AMANDA FALLDORF
TROY, OH
NPI
1982151148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.020035)
Enumeration Date
2016-09-06
Last Update Date
2020-03-24
Business Address
AMANDA FALLDORF NP
1843 W MAIN ST
TROY, OH 45373
Phone number: 937-208-4120
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Mailing Address
AMANDA FALLDORF NP
3170 KETTERING BLVD BLDG B3
MORAINE, OH 45439-1924
Phone number: 937-991-3186
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