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1659992899
MALLORY MARYRUTH GRAY
DECATUR, GA
NPI
1659992899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN262243)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
Ms. MALLORY MARYRUTH GRAY CPNP-PC
350 WINN WAY
DECATUR, GA 30030-2106
Phone number: 404-508-1177
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Mailing Address
Ms. MALLORY MARYRUTH GRAY CPNP-PC
350 WINN WAY
DECATUR, GA 30030-2106
Phone number: 770-312-5566
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