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Individual

GRACE GULLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12895 OAKMONT DR, PLATTE CITY, MO 64079-7208
(816) 838-2855
Mailing address
12895 OAKMONT DR, PLATTE CITY, MO 64079-7208

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/31/2019
Last updated
05/27/2022
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