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1598491359
MALLORY WINNIE-MAE MARTIN
FORT WORTH, TX
NPI
1598491359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: TX 99491)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
MALLORY WINNIE-MAE MARTIN CPM, LM
10345 ALTA VISTA RD
FORT WORTH, TX 76244-6501
Phone number: 817-562-2828
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Mailing Address
MALLORY WINNIE-MAE MARTIN CPM, LM
10345 ALTA VISTA RD
FORT WORTH, TX 76244-6501
Phone number: 817-562-2828
Copy
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