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Mallorie Larson
NPI 1508399734 · on the registry since 2017 · sole proprietor
Practice
- Address
- 71 Jasper Dr
Amherst, NY 14226 - Phone
- (516) 776-0986
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York