DANIEL MALCOLM

ADRIAN, MI
NPI1780104992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-06-20
Last Update Date2017-06-20
Business Address
DANIEL MALCOLM
1325 WILLIAMS ST.
ADRIAN, MI 49221
Phone number: 734-516-1487
Mailing Address
DANIEL MALCOLM
1325 WILLIAMS ST
ADRIAN, MI 49221-2563
Phone number:
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