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1437659513
SUSAN MORTON MALLOY
OKLAHOMA CITY, OK
NPI
1437659513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
SUSAN MORTON MALLOY
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117-2051
Phone number: 405-600-3103
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Mailing Address
SUSAN MORTON MALLOY
2029 S COUNTY LINE AVE
BLANCHARD, OK 73010-9454
Phone number: 405-922-6587
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