Individual
JANICE M PAUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-5082
(618) 798-3871
Mailing address
126 N 82ND ST, BELLEVILLE, IL 62223-2121
(618) 398-5082
(618) 798-3871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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