Individual
JACK ALLEN SCHULTZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(844) 458-2100
Mailing address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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