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Individual

MR. JOHN FRANK BOULUKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
19319 7TH AVE NE, POULSBO, WA 98370-7442
(360) 598-3764
Mailing address
19319 7TH AVE NE, POULSBO, WA 98370-7442

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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