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1851765127
MALLORY BAIN
CINCINNATI, OH
NPI
1851765127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OH AG1015153)
Enumeration Date
2015-11-23
Last Update Date
2018-03-12
Business Address
MALLORY BAIN
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-475-8787
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Mailing Address
MALLORY BAIN
PO BOX 636256 CENTRAL CREDENTIAILING
CINCINNATI, OH 45263-6256
Phone number: 513-585-5506
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