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Individual

GRACE NICOLE SHUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2346 MASCOUTAH AVE, BELLEVILLE, IL 62220-3586
(618) 277-6282
Mailing address
723 SHENANDOAH AVE, SAINT LOUIS, MO 63104-4152
(773) 225-8904

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028593
IL

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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