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1710401641
AMANDA GARTH
LAKE ST LOUIS, MO
NPI
1710401641
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Former Name
AMANDA PRATER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2017023148)
Enumeration Date
2017-08-02
Last Update Date
2022-07-21
Business Address
AMANDA GARTH NP-C
400 MEDICAL PLZ STE 200
LAKE ST LOUIS, MO 63367-1417
Phone number: 636-625-2662
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Mailing Address
AMANDA GARTH NP-C
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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