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1114664869
MALLORY E BLAIR
COLUMBIA, MO
NPI
1114664869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2022015302)
Enumeration Date
2022-05-15
Last Update Date
2022-09-01
Business Address
MALLORY E BLAIR PMHNP-BC
3 HOSPITAL DR
COLUMBIA, MO 65201-0001
Phone number: 573-882-8913
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Mailing Address
MALLORY E BLAIR PMHNP-BC
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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