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Individual

MS. SHATAVIA RENEE CAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 WILLIAM ST, CAPE GIRARDEAU, MO 63703-5950
(573) 730-2468
Mailing address
1900 WILLIAM ST, CAPE GIRARDEAU, MO 63703-5950
(573) 730-2468

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
MO
174200000X
Meals Provider
MO
174H00000X
Health Educator
MO
225100000X
Physical Therapist
MO

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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