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1114300167
MALLORY PIMENTEL
BLOOMINGTON, IL
NPI
1114300167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
-- MALLORY PIMENTEL
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
-- MALLORY PIMENTEL
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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