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1295253581
AMANDA MICHELLE HUXTABLE
BRIDGETON, MO
NPI
1295253581
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Former Name
AMANDA MICHELLE HEEP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2017008669)
Enumeration Date
2017-09-06
Last Update Date
2017-09-06
Business Address
Mrs. AMANDA MICHELLE HUXTABLE AGPCNP-C
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
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Mailing Address
Mrs. AMANDA MICHELLE HUXTABLE AGPCNP-C
540 SUMMIT AVE
WEBSTER GROVES, MO 63119-1964
Phone number: 314-346-0808
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