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1467051151
MALLORY JO BROOKS
LA FOLLETTE, TN
NPI
1467051151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 30895)
Enumeration Date
2020-10-22
Last Update Date
2022-10-03
Business Address
MALLORY JO BROOKS NP
2221 JACKSBORO PIKE STE C4
LA FOLLETTE, TN 37766-3007
Phone number: 423-566-3488
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Mailing Address
MALLORY JO BROOKS NP
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895
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