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Individual

JODIE RAE SHUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
2561 ABBYDALE DR, SAINT CHARLES, MO 63303-3018
(636) 928-3760
(636) 928-2862
Mailing address
1421 ORIOLE PL, BRENTWOOD, MO 63144-1126
(573) 225-2168
(636) 928-2862

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2006003000
MO

Other

Enumeration date
01/30/2007
Last updated
03/06/2008
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