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1982487542
GRACE NICOLE WEDDLE
JEFFERSON CITY, MO
NPI
1982487542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023032246)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
GRACE NICOLE WEDDLE DPT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
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Mailing Address
GRACE NICOLE WEDDLE DPT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
Copy
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