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1548636293
MALLORY TAGGE
OKLAHOMA CITY, OK
NPI
1548636293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 99510)
Enumeration Date
2015-08-17
Last Update Date
2016-02-04
Business Address
-- MALLORY TAGGE APRN-CNP, AGPCNP-BC
401 SW 80TH ST BUILDING D, SUITE 200
OKLAHOMA CITY, OK 73139-8122
Phone number: 405-601-4227
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Mailing Address
-- MALLORY TAGGE APRN-CNP, AGPCNP-BC
401 SW 80TH ST BLDG D, STE. 200
OKLAHOMA CITY, OK 73139-8122
Phone number: 405-601-4227
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