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1497032932
MALLORY WALSH
CHARLOTTESVILLE, VA
NPI
1497032932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110004076)
Enumeration Date
2011-11-11
Last Update Date
2018-07-03
Business Address
MALLORY WALSH PA-C
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Phone number: 434-654-7580
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Mailing Address
MALLORY WALSH PA-C
PO BOX 79777
BALTIMORE, MD 21279-0777
Phone number: 434-654-7794
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