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1346900594
MONIQUE DAWN MALLOY
JOHNSTOWN, PA
NPI
1346900594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: PA SP025116)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
MONIQUE DAWN MALLOY CRNP
817 FRANKLIN ST
JOHNSTOWN, PA 15901-2800
Phone number: 814-535-5545
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Mailing Address
MONIQUE DAWN MALLOY CRNP
144 BOLTZ ST
JOHNSTOWN, PA 15902-1620
Phone number: 814-525-2176
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