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1710450762
AMANDA LEE TREVINO
SPRINGFIELD, MO
NPI
1710450762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2018044128)
Enumeration Date
2019-01-02
Last Update Date
2024-08-21
Business Address
AMANDA LEE TREVINO FNP
1540 E EVERGREEN ST
SPRINGFIELD, MO 65803-4300
Phone number: 417-823-2900
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Mailing Address
AMANDA LEE TREVINO FNP
3183 E LIBERTY ST
REPUBLIC, MO 65738-7826
Phone number: 417-755-6486
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