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Amy Boudonck
NPI 1295385888 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1406 N 39th St
East Saint Louis, IL 62204 - Phone
- (314) 482-3706
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois