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Individual

JAMI B PARSONS MALLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
10 LINCOLN SQ, WORCESTER, MA 01608
(508) 373-5830
(508) 519-5512
Mailing address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
(508) 519-5512

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
13948
CA
152W00000X
Optometrist
Primary
4909
MA
152W00000X
Optometrist
654
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110093358A
MA
Enumeration date
03/22/2010
Last updated
01/31/2019
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