Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Colleen Bouque

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023861341

Mallory Colleen Bouque is a Student in an Organized Health Care Education/Training Program in Garfield Heights, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Garfield Heights, OH

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Additional practice locations (1)

  • 11235 Bellflower Rd, Cleveland, OH 44106-3932 — (248) 464-3927

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023861341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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