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1639869381
CHASE L MALLOY
WAYNESVILLE, MO
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
2024-06-04
Business Address
CHASE L MALLOY
700 BIRCH LN
WAYNESVILLE, MO 65583-2275
Phone number: 573-774-6456
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Mailing Address
CHASE L MALLOY
16 SIERRA LN
MADISON, ME 04950-3928
Phone number: 207-431-5541
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