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Individual

ROOSEVELT SHULER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COACH

Contact information

Practice address
709 VAN BUREN ST # B, GARY, IN 46402-2230
(219) 616-3067
Mailing address
709 VAN BUREN ST # B, GARY, IN 46402-2230
(219) 616-3067

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
223754
IN

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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