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1770003170
MALLORY SHANAHAN
GERMANTOWN, TN
NPI
1770003170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 10476)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
MALLORY SHANAHAN
1918 EXETER RD STE 1
GERMANTOWN, TN 38138-2970
Phone number: 217-540-5100
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Mailing Address
MALLORY SHANAHAN
1918 EXETER RD STE 1
GERMANTOWN, TN 38138-2970
Phone number:
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