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1356570576
AMANDA R GODDARD
SPRINGFIELD, MO
NPI
1356570576
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Former Name
AMANDA R BARGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2009018151)
Enumeration Date
2009-07-09
Last Update Date
2016-03-18
Business Address
-- AMANDA R GODDARD PA-C
3808 S GREYSTONE CT
SPRINGFIELD, MO 65804-6561
Phone number: 417-889-3332
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Mailing Address
-- AMANDA R GODDARD PA-C
3808 S GREYSTONE CT
SPRINGFIELD, MO 65804-6561
Phone number: 417-889-3332
Copy
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