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1932540416
MALLORY ANNE VENTSAM
ST PETERSBURG, FL
NPI
1932540416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2013-07-11
Last Update Date
2013-07-11
Business Address
-- MALLORY ANNE VENTSAM
511 66TH ST N
ST PETERSBURG, FL 33710-6939
Phone number: 727-498-8544
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Mailing Address
-- MALLORY ANNE VENTSAM
12627 PORTMARNOCK DR
ODESSA, FL 33556-5416
Phone number: 813-787-4317
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