JACQUELYN ROSE MALLET

SPIRIT LAKE, ID
NPI1962243063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-9060)
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
JACQUELYN ROSE MALLET DPT
6186 W MAINE ST
SPIRIT LAKE, ID 83869-0149
Phone number: 208-449-1596
Mailing Address
JACQUELYN ROSE MALLET DPT
1917 N LAKEWOOD DR
COEUR D ALENE, ID 83814-2634
Phone number: 208-763-0485
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