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Individual
PAIGE REBECCA MALLETTE
Active
Individual
PAIGE REBECCA MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A134364
CA
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0056893
CO
Other
Enumeration date
03/30/2010
Last updated
08/29/2016
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