MALLORY C BLANKENBERGER

LAFAYETTE, IN
NPI1104348044
Former NameMALLORY CROSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002240A)
Enumeration Date2017-07-12
Last Update Date2023-07-07
Business Address
MALLORY C BLANKENBERGER PA-C
5165 MCCARTY LANE
LAFAYETTE, IN 47905-8764
Phone number: 800-899-8448
Mailing Address
MALLORY C BLANKENBERGER PA-C
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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