MICHAEL GREEN

BOISE, ID
NPI1760794515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-384)
Enumeration Date2010-07-09
Last Update Date2010-07-09
Business Address
MICHAEL GREEN D.C.
5101 BEL AIR ST
BOISE, ID 83705-2774
Phone number: 208-386-9525
Mailing Address
MICHAEL GREEN D.C.
5101 BEL AIR ST
BOISE, ID 83705-2774
Phone number: 208-386-9525
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