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1093265266
AMANDA PETERS
JEFFERSON CITY, MO
NPI
1093265266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2016036095)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- AMANDA PETERS
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
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Mailing Address
-- AMANDA PETERS
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
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