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Individual

AMANDA WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488
Mailing address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2013023557
MO

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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