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1487213898
AMANDA MARIE BOUCHEY
SPRINGFIELD, MO
NPI
1487213898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2019017599)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
AMANDA MARIE BOUCHEY
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0001
Phone number: 417-836-5000
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Mailing Address
AMANDA MARIE BOUCHEY
1005 HAMPTON DR
CENTRALIA, MO 65240-1081
Phone number: 309-265-8167
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