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1043010812
JEFFREY WAYNE MALLOCK
TUSTIN, CA
NPI
1043010812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC17747)
Enumeration Date
2025-03-19
Last Update Date
2025-03-25
Business Address
JEFFREY WAYNE MALLOCK DC
17821 E. 17TH ST., SUITE 250
TUSTIN, CA 92780
Phone number: 714-505-2093
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Mailing Address
JEFFREY WAYNE MALLOCK DC
17821 E. 17TH ST., SUITE 250
TUSTIN, CA 92780
Phone number: 714-505-2093
Copy
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