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1396944294
AMANDA W DETAR
JOPLIN, MO
NPI
1396944294
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Former Name
AMANDA WYATT PEARCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2008030163)
Enumeration Date
2007-07-12
Last Update Date
2023-07-20
Business Address
MRS. AMANDA W DETAR DO
1130 E 32ND ST
JOPLIN, MO 64804-4034
Phone number: 417-347-2273
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Mailing Address
MRS. AMANDA W DETAR DO
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-4662
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