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1467868836
MALLORY TRACY PASCAL
SANTA CRUZ, CA
NPI
1467868836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000771)
Enumeration Date
2014-07-07
Last Update Date
2022-12-07
Business Address
MALLORY TRACY PASCAL FNP
1510 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 831-427-3500
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Mailing Address
MALLORY TRACY PASCAL FNP
PO BOX 542
SANTA CRUZ, CA 95061-0542
Phone number: 831-427-3500
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