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1528442944
MARY MALLORY
SAN DIEGO, CA
NPI
1528442944
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Former Name
MARY FREY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 318248)
Enumeration Date
2015-07-15
Last Update Date
2015-07-15
Business Address
Ms. MARY MALLORY NP
200 WEST ARBOR
SAN DIEGO, CA 92103
Phone number: 619-543-5271
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Mailing Address
Ms. MARY MALLORY NP
6245 TWIN LAKE DRIVE
SAN DIEGO, CA 92119
Phone number: 619-461-5196
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