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1457974008
MALLORY J WILLIS
COLORADO SPRINGS, CO
NPI
1457974008
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Former Name
MALLORY J WEISS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL0016942)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
Mrs. MALLORY J WILLIS DPT
600 S 21ST ST UNIT 130
COLORADO SPRINGS, CO 80904-3763
Phone number: 719-634-1110
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Mailing Address
Mrs. MALLORY J WILLIS DPT
600 S 21ST ST UNIT 130
COLORADO SPRINGS, CO 80904-3763
Phone number: 719-634-1110
Copy
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