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1861913592
MALLORY C WHITLEY
JACKSONVILLE, FL
NPI
1861913592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME137670)
Enumeration Date
2017-07-03
Last Update Date
2022-11-07
Business Address
Dr. MALLORY C WHITLEY MD
7016 NORMANDY BLVD
JACKSONVILLE, FL 32205-6206
Phone number: 904-783-2405
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Mailing Address
Dr. MALLORY C WHITLEY MD
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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