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1053995969
CARL MICHAEL MALLORY-NICHOLS
MENTOR, OH
NPI
1053995969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
CARL MICHAEL MALLORY-NICHOLS
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 440-352-7271
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Mailing Address
CARL MICHAEL MALLORY-NICHOLS
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number:
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