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1194375899
MALLORY SUSSMAN
TAMPA, FL
NPI
1194375899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11004009)
Enumeration Date
2019-09-13
Last Update Date
2024-03-25
Business Address
MALLORY SUSSMAN
13511 IRONTON DR
TAMPA, FL 33626-2967
Phone number: 813-340-5322
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Mailing Address
MALLORY SUSSMAN
13511 IRONTON DR
TAMPA, FL 33626-2967
Phone number:
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