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1013672104
EMMA L MALLORY
COLUMBIA, MO
NPI
1013672104
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Former Name
EMMA HARBOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2021043035)
Enumeration Date
2021-11-03
Last Update Date
2022-08-09
Business Address
EMMA L MALLORY NP-C
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-2700
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Mailing Address
EMMA L MALLORY NP-C
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-2700
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