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1720319148
JEFFREY DONALD MALLORY
ROLLA, MO
NPI
1720319148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 112290)
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
Mr. JEFFREY DONALD MALLORY MSPT
1200 MCCUTCHEN RD
ROLLA, MO 65401-2615
Phone number: 573-364-2311
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Mailing Address
Mr. JEFFREY DONALD MALLORY MSPT
1100 GRANDSIR AVE
ROLLA, MO 65401-3523
Phone number:
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