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1083665129
NANCY MALLORY
EAGLE, ID
NPI
1083665129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M8876)
Enumeration Date
2006-05-13
Last Update Date
2008-01-23
Business Address
-- NANCY MALLORY MD
435 S EAGLE RD
EAGLE, ID 83616-6067
Phone number: 208-939-8200
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Mailing Address
-- NANCY MALLORY MD
435 S EAGLE RD
EAGLE, ID 83616-6067
Phone number: 208-939-8200
Copy
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