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1619629243
MALLORIE BOSWELL GREENWAY
JEFFERSON CITY, TN
NPI
1619629243
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Former Name
MALLORIE LEANNE BOSWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-25
Last Update Date
2023-06-08
Business Address
MALLORIE BOSWELL GREENWAY PA
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760-2602
Phone number: 865-475-4742
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Mailing Address
MALLORIE BOSWELL GREENWAY PA
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-584-4747
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