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Individual
MIMI COLETTE MALGARINI
Active
Individual
MIMI COLETTE MALGARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162547
DEPT OF LABOR & INDUSTRIE
WA
01
—
0279230
LABOR AND INDRUSTRIES
WA
01
—
5161656
AETNA/LEXINGTON, KY
WA
01
—
810588134-02
KPS HEALTH PLANS
WA
01
—
9119MA
REGENCE BLUE SHIELD
WA
Enumeration date
05/24/2006
Last updated
03/26/2014
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