| NPI | 1760418099 |
|---|---|
| Doing Business As | CLEARY'S SHOES & BOOTS |
| Entity Type | Organization |
| Authorized Contact | ANDREW HAGOPIAN Owner 618-254-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 212000071) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-06-22 |