Provider Information for 1831565845
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AMANDA RENEE DUNN M.A.
Sex: Female
NPI: 1831565845
Last Updated: 2019-11-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1831565845 | ||||||||
| Enumeration Date | 2015-08-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1210 4TH ST GREELEY, CO 80631-2214 United States Phone: 928-515-9043 | Fax: | ||||||||
| Primary Practice Address | 710 11TH AVE STE L46 GREELEY, CO 80631-3171 United States Phone: 928-515-9043 | Fax: | ||||||||
| Secondary Practice Address(es) | 1724 N GILPIN ST | ||||||||
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