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Individual

MALLORY MILES SPETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
109 DIVISION ST, COBB, WI 53526-8501
(608) 723-7723
Mailing address
109 DIVISION ST, COBB, WI 53526-8501
(608) 292-9440

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5482-12
WI

Other

Enumeration date
02/17/2020
Last updated
11/08/2023
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