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1568078749
MALLORY JORDAN
HUNTSVILLE, AL
NPI
1568078749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
MALLORY JORDAN
802 SHONEY DR SW STE C
HUNTSVILLE, AL 35801-5435
Phone number: 256-509-4398
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Mailing Address
MALLORY JORDAN
PO BOX 1647
HUNTSVILLE, AL 35807-0647
Phone number: 256-509-4398
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