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1003478686
DANIELLE LEE MALLORY
UNCASVILLE, CT
NPI
1003478686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 8280)
Enumeration Date
2019-07-03
Last Update Date
2021-09-08
Business Address
DANIELLE LEE MALLORY APRN FNP-BC
620 NORWICH NEW LONDON TPKE
UNCASVILLE, CT 06382-2121
Phone number: 860-892-8012
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Mailing Address
DANIELLE LEE MALLORY APRN FNP-BC
141 WAY RD
SALEM, CT 06420-3716
Phone number: 860-949-4182
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