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1801087796
MARY L. MALLORY
SAINT LOUIS, MO
NPI
1801087796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner, Community Health
(Licence: MO 058328)
Enumeration Date
2007-08-06
Last Update Date
2014-07-01
Business Address
Ms. MARY L. MALLORY Nurse Practioner
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111-2410
Phone number: 314-353-5190
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Mailing Address
Ms. MARY L. MALLORY Nurse Practioner
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111-2410
Phone number: 314-353-5190
Copy
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