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1053045203
MALLORY ANNE SMALLZE
FAIR LAWN, NJ
NPI
1053045203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ01325700)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
MALLORY ANNE SMALLZE
22-18 BROADWAY
FAIR LAWN, NJ 07410-3016
Phone number: 201-414-9840
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Mailing Address
MALLORY ANNE SMALLZE
13 DOROTHY AVE
ROCHELLE PARK, NJ 07662-3303
Phone number: 201-421-7757
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