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1275351009
DYSYAN MALONE
COLUMBIA, MO
NPI
1275351009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2024039932)
Enumeration Date
2024-10-01
Last Update Date
2024-10-06
Business Address
DYSYAN MALONE PMHNP
2121 E COUNTY DR
COLUMBIA, MO 65202-9064
Phone number: 573-875-1111
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Mailing Address
DYSYAN MALONE PMHNP
5206 PRIMAVERA LN
KILLEEN, TX 76549-5446
Phone number: 719-460-4571
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