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1386906535
AMANDA K EDDY
POPLAR BLUFF, MO
NPI
1386906535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2004001633)
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- AMANDA K EDDY ATC/L
3019 FAIR ST
POPLAR BLUFF, MO 63901-7044
Phone number: 573-714-2981
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Mailing Address
-- AMANDA K EDDY ATC/L
3019 FAIR ST
POPLAR BLUFF, MO 63901-7044
Phone number: 573-714-2981
Copy
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