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1194719971
CAROLYN T MALLILLIN
LOUISVILLE, KY
NPI
1194719971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 45207)
Enumeration Date
2005-09-07
Last Update Date
2021-01-14
Business Address
CAROLYN T MALLILLIN MD
1900 BLUEGRASS AVE STE 300
LOUISVILLE, KY 40215-1183
Phone number: 502-361-1222
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Mailing Address
CAROLYN T MALLILLIN MD
174 CHINA BLUE LN
CAPE GIRARDEAU, MO 63701-3800
Phone number:
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