Tina Maria Mcclure

NPI #1720273394 in Lake Park, Iowa

Provider Information

NPI Number: 1720273394
Entity Type: Individual
Name: Tina Maria Mcclure
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Sep 7, 2007
Last Updated: Sep 7, 2007

Practice Location

Address: 206 E 5TH ST
City: Lake Park
State: Iowa
ZIP Code: 51347-7745
Phone: (712) 832-3888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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