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1154345585
CLINTON MALLARI
BOISE, ID
NPI
1154345585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation Pain Medicine
(Licence: ID M6287)
Enumeration Date
2006-07-27
Last Update Date
2007-07-09
Business Address
DR. CLINTON MALLARI MD
115 W MAIN ST SUITE 102
BOISE, ID 83702-7302
Phone number: 208-342-4700
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Mailing Address
DR. CLINTON MALLARI MD
115 W MAIN ST SUITE 102
BOISE, ID 83702-7302
Phone number: 208-342-4700
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