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1245421403
JAMIE A MALLAH
LUTZ, FL
NPI
1245421403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME98703)
Enumeration Date
2007-08-05
Last Update Date
2011-09-21
Business Address
JAMIE A MALLAH MD
4683 VAN DYKE RD
LUTZ, FL 33558-4880
Phone number: 813-968-7171
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Mailing Address
JAMIE A MALLAH MD
4902 EISENHOWER BLVD SUITE 300
TAMPA, FL 33634-6344
Phone number: 813-636-2000
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