MALLORY R. WALTRIP

SPRINGFIELD, IL
NPI1780125278
Former NameMALLORY RAHAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209015762)
Enumeration Date2017-03-16
Last Update Date2024-01-19
Business Address
MALLORY R. WALTRIP APRN
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
Phone number: 217-528-7541
Mailing Address
MALLORY R. WALTRIP APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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