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Natalie Mallard
NPI 1306392725 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1213 Maria Ln
Iuka, MS 38852 - Phone
- (662) 423-3332
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-26
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 Mississippi