Individual
DR. DEBRA LYNN MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PHD
Contact information
Practice address
27 E CRESTHILL RD, TERRE HAUTE, IN 47802-4985
(812) 298-1415
(812) 237-3358
Mailing address
1530 N 7TH ST, SUITE 101, TERRE HAUTE, IN 47807-1057
(812) 238-3800
(812) 478-7676
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001184A
IN
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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