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1558613828
JOHN T MALLERY
ALEXANDRIA, VA
NPI
1558613828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024170473)
Enumeration Date
2012-10-10
Last Update Date
2012-11-06
Business Address
JOHN T MALLERY C.R.N.A.
4320 SEMINARY RD DEPARTMENT OF ANESTHESIA
ALEXANDRIA, VA 22304-1535
Phone number: 703-504-3789
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Mailing Address
JOHN T MALLERY C.R.N.A.
3998 FAIR RIDGE DR SUITE 320
FAIRFAX, VA 22033-2907
Phone number: 703-295-9360
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