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1639869381
CHASE L MALLOY
KINGMAN, AZ
NPI
1639869381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT6514)
Enumeration Date
2023-05-08
Last Update Date
2024-09-04
Business Address
CHASE L MALLOY
3801 SANTA ROSA DR
KINGMAN, AZ 86401-2311
Phone number: 928-757-2101
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Mailing Address
CHASE L MALLOY
202 BAGLEY RD
MADISON, ME 04950-3522
Phone number: 207-431-5541
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