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Individual
MS. PRISCILLA B MALLOY
Active
Individual
MS. PRISCILLA B MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R32068
CT
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
000209
CT
Other
Enumeration date
02/10/2006
Last updated
12/21/2011
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