MALLORY EDMONDSON

SOUTH BEND, IN
NPI1467920892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IN  13007311A)
Enumeration Date2018-11-03
Last Update Date2018-11-03
Business Address
MALLORY EDMONDSON MSDH, RDH
1002 S ESTHER ST
SOUTH BEND, IN 46615-1440
Phone number: 219-363-8866
Mailing Address
MALLORY EDMONDSON MSDH, RDH
4511 N 600 E
ROLLING PRAIRIE, IN 46371-9511
Phone number: 219-363-8866
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