GROVER LYNN MALLARD

LEWISTON, ID
NPI1356333702
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA832)
Enumeration Date2005-08-19
Last Update Date2007-07-08
Business Address
DR. GROVER LYNN MALLARD DC
3320 10TH ST
LEWISTON, ID 83501
Phone number: 208-746-5226
Mailing Address
DR. GROVER LYNN MALLARD DC
3320 10TH ST
LEWISTON, ID 83501
Phone number: 208-746-5226
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