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1073858213
JOSEPH F MALLARI
BEAVERTON, OR
NPI
1073858213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: OR 19459)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
Mr. JOSEPH F MALLARI LMT
7340 SW 163RD PL
BEAVERTON, OR 97007-6365
Phone number: 971-322-6580
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Mailing Address
Mr. JOSEPH F MALLARI LMT
7340 SW 163RD PL
BEAVERTON, OR 97007-6365
Phone number: 971-322-6580
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