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1528467545
EMILY GRACE
SAINT LOUIS, MO
NPI
1528467545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014022604)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- EMILY GRACE MAT, ATC
10407 CLAYTON RD
SAINT LOUIS, MO 63131-2909
Phone number: 314-692-0445
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Mailing Address
-- EMILY GRACE MAT, ATC
665 S SKINKER BLVD APT 9E
SAINT LOUIS, MO 63105-2347
Phone number: 920-655-8688
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