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1144877051
MALLORY M JOHNSON
CHARLOTTESVILLE, VA
NPI
1144877051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: VA 0024178050)
Enumeration Date
2019-08-25
Last Update Date
2024-02-27
Business Address
MALLORY M JOHNSON AG-ACNP
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2409
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Mailing Address
MALLORY M JOHNSON AG-ACNP
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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