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1316545304
VICTOR THEODORE MALLORY
DANVILLE, PA
NPI
1316545304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA061966)
Enumeration Date
2020-10-13
Last Update Date
2024-11-14
Business Address
VICTOR THEODORE MALLORY PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6211
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Mailing Address
VICTOR THEODORE MALLORY PA-C
PO BOX 13579
READING, PA 19612-3579
Phone number: 215-427-4820
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