CLAIRE E MALLICOAT

BOISE, ID
NPI1770275984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  2743)
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
CLAIRE E MALLICOAT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 865-223-2172
Mailing Address
CLAIRE E MALLICOAT
7642 BORUFF RD
CORRYTON, TN 37721-3302
Phone number: 865-223-2172
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