Individual
MRS. ANNA MARIE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 W 11TH ST, NORTH PLATTE, NE 69101-2770
(308) 539-1632
Mailing address
109 E 2ND ST STE 11, NORTH PLATTE, NE 69101-5474
(402) 853-4995
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/07/2025
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