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1336889146
MALLORY ELLEN DEGRAY
LOS ANGELES, CA
NPI
1336889146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95020327)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
MALLORY ELLEN DEGRAY
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7500
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Mailing Address
MALLORY ELLEN DEGRAY
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7500
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