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1215272505
MALLORY FILLMORE
SPRINGFIELD, OR
NPI
1215272505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA174128)
Enumeration Date
2012-11-28
Last Update Date
2021-04-28
Business Address
MALLORY FILLMORE PA-C
3355 RIVERBEND DR STE 500
SPRINGFIELD, OR 97477
Phone number: 541-868-9500
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Mailing Address
MALLORY FILLMORE PA-C
3355 RIVERBEND DR STE 500
SPRINGFIELD, OR 97477-8800
Phone number: 541-868-9535
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