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1457914855
MALLORY MICHAEL
CORAL SPRINGS, FL
NPI
1457914855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA21585)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
MALLORY MICHAEL
1750 N UNIVERSITY DR
CORAL SPRINGS, FL 33071-8903
Phone number: 954-828-0425
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Mailing Address
MALLORY MICHAEL
1495 N PARK DR
WESTON, FL 33326-3215
Phone number:
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