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1982906202
KIM MALLON
VIRGINIA BEACH, VA
NPI
1982906202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204928)
Enumeration Date
2010-11-18
Last Update Date
2017-04-05
Business Address
KIM MALLON
4560 SOUTH BLVD
VIRGINIA BEACH, VA 23452-1160
Phone number: 757-490-3223
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Mailing Address
KIM MALLON
24030 INDIAN TOWN RD
COURTLAND, VA 23837-2371
Phone number: 757-812-3288
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