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1114285517
MALLORY RENEE WITTIG
METROPOLIS, IL
NPI
1114285517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009469)
Enumeration Date
2012-04-24
Last Update Date
2018-05-09
Business Address
MALLORY RENEE WITTIG FNP
12 HOSPITAL DR
METROPOLIS, IL 62960-2461
Phone number: 618-524-2182
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Mailing Address
MALLORY RENEE WITTIG FNP
12 HOSPITAL DR
METROPOLIS, IL 62960-2461
Phone number: 618-524-2182
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