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1053877803
NICOLE MALLERY
SAN DIEGO, CA
NPI
1053877803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 296327)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
NICOLE MALLERY
9909 MIRA MESA BLVD STE 260
SAN DIEGO, CA 92131-1064
Phone number: 858-385-9400
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Mailing Address
NICOLE MALLERY
4851 BRIGHTON AVE APT L
SAN DIEGO, CA 92107-2583
Phone number: 602-380-3282
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