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1417787631
MALLORY POWELL
LIBERTY HILL, TX
NPI
1417787631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1170341)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
MALLORY POWELL CPNP-PC
12661 W STATE HIGHWAY 29
LIBERTY HILL, TX 78642-4729
Phone number: 512-778-5111
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Mailing Address
MALLORY POWELL CPNP-PC
12661 W STATE HIGHWAY 29
LIBERTY HILL, TX 78642-4729
Phone number: 512-778-5111
Copy
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