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1063902781
MALLORY R WHITMAN
CORVALLIS, OR
NPI
1063902781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-05-17
Last Update Date
2021-06-10
Business Address
MALLORY R WHITMAN
114 GILL COLISEUM
CORVALLIS, OR 97331-8547
Phone number: 541-231-4998
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Mailing Address
MALLORY R WHITMAN
114 GILL COLISEUM
CORVALLIS, OR 97331-8547
Phone number:
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