MONTANA BORIS

CLIO, MI
NPI1578162277
Former NameMONTANA MOORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010013)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
MONTANA BORIS PA-C
11307 N LINDEN RD
CLIO, MI 48420-8589
Phone number: 810-564-7995
Mailing Address
MONTANA BORIS PA-C
11307 N LINDEN RD
CLIO, MI 48420-8589
Phone number:
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