MALLORY JO NICHOLSON

WEST DES MOINES, IA
NPI1154751196
Former NameMALLORY JO SMALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IA  002117)
Enumeration Date2013-11-12
Last Update Date2013-11-12
Business Address
-- MALLORY JO NICHOLSON RD, LD
1990 GRAND AVE
WEST DES MOINES, IA 50265-4222
Phone number: 515-223-8151
Mailing Address
-- MALLORY JO NICHOLSON RD, LD
1990 GRAND AVE
WEST DES MOINES, IA 50265-4222
Phone number:
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