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Individual

GRACE ELIZABETH CORTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT

Contact information

Practice address
3801 SPRING ST, ORTHOPEDIC DEPARTMENT, MOUNT PLEASANT, WI 53405-1667
(262) 687-5838
Mailing address
175 DEVLIN RD APT 202, INGLESIDE, IL 60041-9714
(815) 757-5111

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
39-744
WI

Other

Enumeration date
01/12/2015
Last updated
05/10/2019
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