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Mallory Putnam, PA
NPI 1336493428 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2615 Fairmount Ave
Lakeland, FL 33803 - Phone
- (863) 661-3887
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-30
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 Florida