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1740848985
MALLORY DES CHAMPS
BROOKLYN, NY
NPI
1740848985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2019-06-03
Last Update Date
2019-12-23
Business Address
MALLORY DES CHAMPS
7901 4TH AVE STE A20
BROOKLYN, NY 11209-3957
Phone number: 718-491-5800
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Mailing Address
MALLORY DES CHAMPS
1150 DOUGLAS PIKE
SMITHFIELD, RI 02917-1291
Phone number:
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