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1205381241
AMANDA JEAN WAKEMAN
WARRENSBURG, MO
NPI
1205381241
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Former Name
AMANDA JEAN LOCKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2016027664)
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
-- AMANDA JEAN WAKEMAN PT, DPT
540 E YOUNG AVE STE E
WARRENSBURG, MO 64093-1231
Phone number: 660-262-4795
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Mailing Address
-- AMANDA JEAN WAKEMAN PT, DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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