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Individual

MS. PEGGY JO SCHUELKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MS, CNP

Contact information

Practice address
103 E. THIRD STREET, REVILLO, SD 57259
(605) 623-4695
(605) 623-4318
Mailing address
15754 483RD AVE, REVILLO, SD 57259-6311
(605) 623-4228
(605) 623-4318

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000126
SD

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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