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Amanda Bouque, AP

NPI 1144622051 · on the registry since 2014 · sole proprietor

Practice

Address
2892 Carew Ave
Winter Park, FL 32789
Phone
(219) 730-3189

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida