Individual
CHRYSTAL GAIL SHUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
9785 E 100 S, LAGRANGE, IN 46761-8777
(260) 573-1240
Mailing address
9785 E 100 S, LAGRANGE, IN 46761-8777
(260) 573-1240
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NA
IN
Other
Enumeration date
05/26/2022
Last updated
05/31/2022
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