SHAWN GRISCHKOWSKY

POCATELLO, ID
NPI1750887394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: ID  CPSS580)
Enumeration Date2018-04-03
Last Update Date2018-04-03
Business Address
SHAWN GRISCHKOWSKY CPPS
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
Mailing Address
SHAWN GRISCHKOWSKY CPPS
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
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