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Individual

MS. MALLORY BROOKE MANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3700 ACCESS ROAD, JONESBORO, AR 72401
(870) 680-0607
Mailing address
2707 BROWNS LANE, JONESBORO, AR 72401
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R109336
AR

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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