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1043329105
AMANDA HEIDEMANN
O FALLON, MO
NPI
1043329105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2002002039)
Enumeration Date
2006-08-30
Last Update Date
2012-02-20
Business Address
-- AMANDA HEIDEMANN MD
2630 HIGHWAY K
O FALLON, MO 63368-6624
Phone number: 636-980-5300
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Mailing Address
-- AMANDA HEIDEMANN MD
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 636-980-5300
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