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1649341462
ROBERT MALLORY
MODESTO, CA
NPI
1649341462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT20155)
Enumeration Date
2006-11-13
Last Update Date
2022-01-03
Business Address
-- ROBERT MALLORY PT
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-4080
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Mailing Address
-- ROBERT MALLORY PT
1105 SPRINGCREEK DR
MODESTO, CA 95355-4820
Phone number:
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