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Individual

NICOLE MALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3886 DOUBLE BRIDGES RD, BATESBURG LEESVILLE, SC 29006-8642
(508) 838-1422
Mailing address
3886 DOUBLE BRIDGES RD, BATESBURG LEESVILLE, SC 29006-8642
(508) 838-1422

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13526
SC

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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