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1952669137
MARY ANNA MALONE
MOUNTAIN BRK, AL
NPI
1952669137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AL PTH-4554)
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
Mrs. MARY ANNA MALONE
105 CRESTWOOD DR
MOUNTAIN BRK, AL 35213-3108
Phone number: 205-870-1099
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Mailing Address
Mrs. MARY ANNA MALONE
105 CRESTWOOD DRIVE
BIRMINGHAM, AL 35213-3108
Phone number: 205-870-1099
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