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1154973055
MALLORY NICOLE OXFORD
BRONX, NY
NPI
1154973055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
MALLORY NICOLE OXFORD PA-C
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 352-464-0088
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Mailing Address
MALLORY NICOLE OXFORD PA-C
3678 LOOPER LAKE PT
GAINESVILLE, GA 30506-2219
Phone number: 352-464-0088
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