Provider Information for 1033635453
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AMANDA BRUMFIELD
Sex: Female
NPI: 1033635453
Last Updated: 2024-10-28
Certification Date: 2024-10-28
Certification Date: 2024-10-28
Details
| Name | Value | ||||||||||||
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| NPI | 1033635453 | ||||||||||||
| Enumeration Date | 2017-08-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3086 STATE ROUTE 160 GALLIPOLIS, OH 45631-8409 United States Phone: 740-446-5500 | Fax:740-446-2159 | ||||||||||||
| Primary Practice Address | 3086 STATE ROUTE 160 GALLIPOLIS, OH 45631 United States Phone: 740-446-5500 | Fax:740-446-2159 | ||||||||||||
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