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1003125477
ELLEN MALLOY
STATEN ISLAND, NY
NPI
1003125477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
Mrs. ELLEN MALLOY
41 PITNEY AVE
STATEN ISLAND, NY 10309-1916
Phone number: 718-966-4875
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Mailing Address
Mrs. ELLEN MALLOY
41 PITNEY AVE
STATEN ISLAND, NY 10309-1916
Phone number: 718-966-4875
Copy
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