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1467748731
MALLORY PETRUS
LOWVILLE, NY
NPI
1467748731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1207072)
Enumeration Date
2011-06-24
Last Update Date
2019-02-12
Business Address
MALLORY PETRUS
6584 E ROAD EXT
LOWVILLE, NY 13367-1544
Phone number: 315-783-4929
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Mailing Address
MALLORY PETRUS
5848 SNYDER DR
LOCKPORT, NY 14094-9497
Phone number: 315-783-4929
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