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Stasianne Mallin
NPI 1942046925 · on the registry since 2024
Practice
- Address
- 635 Barnhill Dr Rm 112
Indianapolis, IN 46202 - Phone
- (317) 274-3772
- Organisation at this address
- Nourishing Direction Inc
Indiana Pathology Institute PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2024-07-24
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 Indiana