MICHELLE STOVALL

BOISE, ID
NPI1063872927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1077)
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
-- MICHELLE STOVALL
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2138
Mailing Address
-- MICHELLE STOVALL
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2138
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