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1376320390
MALLORY A MOEBS
ORCHARD PARK, NY
NPI
1376320390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 352794)
Enumeration Date
2023-09-12
Last Update Date
2024-04-25
Business Address
MALLORY A MOEBS NP
3401 ORCHARD PARK RD STE C
ORCHARD PARK, NY 14067-9274
Phone number: 716-674-3104
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Mailing Address
MALLORY A MOEBS NP
8276 MILL RD
GASPORT, NY 14067-9274
Phone number: 716-417-6564
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