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1811646672
MALLORY CARTER
MISHAWAKA, IN
NPI
1811646672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
MALLORY CARTER
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 574-335-6500
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Mailing Address
MALLORY CARTER
406 CANAL VIEW WAY APT D
INDIANAPOLIS, IN 46202-6107
Phone number: 317-263-4906
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