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Individual

DR. JENNIFER ANN MALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
800 S 3RD ST, APT. G3, GALLUP, NM 87301-5872
(815) 600-0227

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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