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1366201683
JOHN DAVID MALLORY
LOS ANGELES, CA
NPI
1366201683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
JOHN DAVID MALLORY
3745 OVERLAND AVE
LOS ANGELES, CA 90034-6311
Phone number: 310-394-6889
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Mailing Address
JOHN DAVID MALLORY
3745 OVERLAND AVE
LOS ANGELES, CA 90034-6311
Phone number: 310-394-6889
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