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1417446188
REGINA MARIE MALLOY
LA QUINTA, CA
NPI
1417446188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT37560)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
REGINA MARIE MALLOY PT
53370 AVENIDA MENDOZA
LA QUINTA, CA 92253-5403
Phone number: 760-895-5145
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Mailing Address
REGINA MARIE MALLOY PT
53370 AVENIDA MENDOZA
LA QUINTA, CA 92253-5403
Phone number: 760-895-5145
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