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1013475771
AMBER STAR WEDGE
POPLAR BLUFF, MO
NPI
1013475771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2015033100)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
AMBER STAR WEDGE LPN
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
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Mailing Address
AMBER STAR WEDGE LPN
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
Copy
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