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1669132403
MARCUS BINSTEAD MALLEN
COLUMBIA, MO
NPI
1669132403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
MARCUS BINSTEAD MALLEN
1601 KITTYHAWK DR APT 3
COLUMBIA, MO 65202-0955
Phone number: 816-617-3870
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Mailing Address
MARCUS BINSTEAD MALLEN
1601 KITTYHAWK DR APT 3
COLUMBIA, MO 65202-0955
Phone number:
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