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1902498306
KIRSTEN LEIGH MALLON
MOBILE, AL
NPI
1902498306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 55033)
Enumeration Date
2021-02-07
Last Update Date
2021-02-07
Business Address
KIRSTEN LEIGH MALLON LPTA
1220 AZALEA RD
MOBILE, AL 36693-2859
Phone number: 251-607-6495
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Mailing Address
KIRSTEN LEIGH MALLON LPTA
8685 MAGNOLIA LN E
IRVINGTON, AL 36544-6036
Phone number: 251-644-4008
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