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1902106974
MALLORY BAX
BRIDGETON, MO
NPI
1902106974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
MALLORY BAX
3165 MCKELVEY RD SUITE 200
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
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Mailing Address
MALLORY BAX
3165 MCKELVEY RD SUITE 200
BRIDGETON, MO 63044-2550
Phone number:
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