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Individual

MR. JOHN ANDREW SCHULKINS V

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, IS

Contact information

Practice address
3593 DELOY DR APT 4, IDAHO FALLS, ID 83401-1961
(208) 340-8787
Mailing address
3593 DELOY DR APT 4, IDAHO FALLS, ID 83401-1961
(208) 340-8787

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
08/31/2022
Last updated
10/20/2022
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