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1164188900
MALLORIE HOGAN
FOLSOM, CA
NPI
1164188900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018019)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
Miss MALLORIE HOGAN FNP-BC
1631 CREEKSIDE DR
FOLSOM, CA 95630-3820
Phone number: 916-250-0377
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Mailing Address
Miss MALLORIE HOGAN FNP-BC
10531 SILVERWOOD WAY
RANCHO CORDOVA, CA 95670-5533
Phone number: 916-662-0020
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