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1689116055
AMANDA MALLORY
LEXINGTON, SC
NPI
1689116055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20586)
Enumeration Date
2016-11-16
Last Update Date
2021-02-01
Business Address
AMANDA MALLORY NP
1847 S LAKE DR
LEXINGTON, SC 29073-7759
Phone number: 803-356-8998
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Mailing Address
AMANDA MALLORY NP
703 DAWSONS PARK WAY
LEXINGTON, SC 29072-1906
Phone number: 038-240-9995
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