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1508499278
AMY L WYATT
JEFFERSON CITY, MO
NPI
1508499278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2019037098)
Enumeration Date
2020-02-20
Last Update Date
2020-02-24
Business Address
AMY L WYATT AGPCNP
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5000
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Mailing Address
AMY L WYATT AGPCNP
PO BOX 644
SAINT JAMES, MO 65559-0644
Phone number: 573-263-5593
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