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1639519481
AMANDA MICHELLE NICKLAS
SAINT LOUIS, MO
NPI
1639519481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2013021169)
Enumeration Date
2013-06-26
Last Update Date
2024-06-20
Business Address
DR. AMANDA MICHELLE NICKLAS OD
1 CHILDRENS PL STE 3110
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6026
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Mailing Address
DR. AMANDA MICHELLE NICKLAS OD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-454-6026
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