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1891457289
AMANDA JO JOHNSON
SIKESTON, MO
NPI
1891457289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2021010402)
Enumeration Date
2021-10-12
Last Update Date
2022-04-28
Business Address
AMANDA JO JOHNSON
1012 N MAIN ST
SIKESTON, MO 63801-5097
Phone number: 573-471-0330
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Mailing Address
AMANDA JO JOHNSON
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-5583
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