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1417405416
MALLORY WIPF
RAPID CITY, SD
NPI
1417405416
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Former Name
MALLORY HOLZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 1057)
Enumeration Date
2016-09-19
Last Update Date
2024-12-17
Business Address
MALLORY WIPF PA-C
3024 TOWER RD
RAPID CITY, SD 57701-5392
Phone number: 605-342-3280
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Mailing Address
MALLORY WIPF PA-C
3024 TOWER RD
RAPID CITY, SD 57701-5392
Phone number: 605-342-3280
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