Amanda Rachel Raeburn
Amanda Rachel Raeburn is a Student in an Organized Health Care Education/Training Program in Berwyn, Illinois. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
6918 Windsor AveBerwyn, IL 60402-3334
Phone: (708) 745-5277
Fax: (708) 795-4834
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1891136107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2013 |
| Last updated in NPPES | July 15, 2013 |
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