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Individual

MALLORY MCMAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14521 N MCCAULEY LN, MOUNT VERNON, IL 62864-7969
(618) 335-2092
Mailing address
PO BOX 18, DIX, IL 62830-0018

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164022538
IL

Other

Enumeration date
09/24/2025
Last updated
10/24/2025
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