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Individual

MRS. MICHELLE MALQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7575 DR PHILLIPS BLVD, #155, ORLANDO, FL 32819-7216
(407) 574-8383
Mailing address
7575 DR PHILLIPS BLVD, #155, ORLANDO, FL 32819-7216
(407) 574-8383

Taxonomy

Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
48-44-1429053
FL

Other

Enumeration date
05/12/2016
Last updated
05/12/2016
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