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1730175225
BRADFORD HEATH MALLORY
EVANSVILLE, IN
NPI
1730175225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN 01056168a)
Enumeration Date
2005-09-21
Last Update Date
2007-07-09
Business Address
Mr. BRADFORD HEATH MALLORY M.D.
3400 LINCOLN AVE
EVANSVILLE, IN 47714-0147
Phone number: 812-469-6800
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Mailing Address
Mr. BRADFORD HEATH MALLORY M.D.
12940 AVALON DR
EVANSVILLE, IN 47725-8062
Phone number: 812-626-0143
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