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1720830102
MALLORIE LEIGH WILLIS
LOUISVILLE, KY
NPI
1720830102
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Former Name
MALLORIE LEIGH DEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: KY CNM9215)
Enumeration Date
2024-04-01
Last Update Date
2024-06-27
Business Address
MRS. MALLORIE LEIGH WILLIS APRN, CNM
4123 DUTCHMANS LN STE 507
LOUISVILLE, KY 40207-4730
Phone number: 502-423-9595
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Mailing Address
MRS. MALLORIE LEIGH WILLIS APRN, CNM
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number:
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