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Individual
MICHAEL C MALLATT
Active
Individual
MICHAEL C MALLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17004
CA
Other
Enumeration date
06/26/2006
Last updated
01/25/2024
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