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1043508625
MALLORY IRWIN TREVINO
KNOXVILLE, TN
NPI
1043508625
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Former Name
MALLORY ELIZABETH IRWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 49522)
Enumeration Date
2011-07-15
Last Update Date
2015-04-17
Business Address
-- MALLORY IRWIN TREVINO MD
7211 WELLINGTON DR SUITE 201
KNOXVILLE, TN 37919-5968
Phone number: 865-584-5762
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Mailing Address
-- MALLORY IRWIN TREVINO MD
1225 E WEISGARBER RD SUITE 200
KNOXVILLE, TN 37909-2604
Phone number: 865-584-4747
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