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1639925399
MALLORY DAVID
MORENO VALLEY, CA
NPI
1639925399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95029041)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
MALLORY DAVID NP
23180 HEMLOCK AVE STE 200
MORENO VALLEY, CA 92557-8001
Phone number: 951-221-3988
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Mailing Address
MALLORY DAVID NP
2916 S DEL NORTE AVE
ONTARIO, CA 91761-7009
Phone number: 323-304-6237
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