AMANDA NICOLE BREEDLOVE

FENTON, MO
NPI1235486952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2012026927)
Enumeration Date2012-08-13
Last Update Date2013-02-28
Business Address
Miss AMANDA NICOLE BREEDLOVE PNP
1203 SMIZER MILL RD SUITE 100
FENTON, MO 63026-3483
Phone number: 636-717-1414
Mailing Address
Miss AMANDA NICOLE BREEDLOVE PNP
1203 SMIZER MILL RD
FENTON, MO 63026-3483
Phone number: 636-717-1414
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