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1215582663
KATINA MALLORY
DAYTONA BEACH, FL
NPI
1215582663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9180804)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
KATINA MALLORY
621 RUSSELL DR
DAYTONA BEACH, FL 32114-5141
Phone number: 386-871-7368
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Mailing Address
KATINA MALLORY
621 RUSSELL DR
DAYTONA BEACH, FL 32114-5141
Phone number: 386-871-7368
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