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1346485554
JASON S. MALLORY
COLUMBIA, TN
NPI
1346485554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN LD0000001968)
Enumeration Date
2008-12-03
Last Update Date
2009-09-14
Business Address
MR. JASON S. MALLORY RD, LDN
1224 TROTWOOD AVE
COLUMBIA, TN 38401-4802
Phone number: 931-388-1111
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Mailing Address
MR. JASON S. MALLORY RD, LDN
924 EVERYMAN CT
COLUMBIA, TN 38401-5596
Phone number: 731-571-0736
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