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1821774258
AMANDA RAE BIRDSONG
BLUE SPRINGS, MO
NPI
1821774258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023016599)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
AMANDA RAE BIRDSONG
111 NE MOCK AVE
BLUE SPRINGS, MO 64014-2503
Phone number: 816-220-4200
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Mailing Address
AMANDA RAE BIRDSONG
423 SW JOSEPH LN
GRAIN VALLEY, MO 64029-8411
Phone number: 816-844-1496
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