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Individual

MRS. MALLORY DAWN CAPRETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 729-7633
(330) 729-7656
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 376-3332

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0027093
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027093
OH
363LP0200X
Pediatric Nurse Practitioner
345985
OH

Other

Enumeration date
06/26/2020
Last updated
04/29/2021
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