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1740685858
MALLORY L. MILLER
STATE COLLEGE, PA
NPI
1740685858
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Former Name
MALLORY LYNN SOWCIK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA058348)
Enumeration Date
2014-10-31
Last Update Date
2020-01-28
Business Address
MALLORY L. MILLER PA-C
100 RADNOR RD STE 101
STATE COLLEGE, PA 16801
Phone number: 814-231-7878
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Mailing Address
MALLORY L. MILLER PA-C
100 RADNOR RD STE 101
STATE COLLEGE, PA 16801-7986
Phone number: 814-231-7878
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