MITCHELL ALLEN COLLAR

MOSCOW, ID
NPI1487207072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-22
Last Update Date2019-07-22
Business Address
MITCHELL ALLEN COLLAR
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
Mailing Address
MITCHELL ALLEN COLLAR
254 BAKER ST APT 4
MOSCOW, ID 83843-3276
Phone number: 208-503-2493
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