Individual
MALLORY LEEANN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1907 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2807
(573) 772-5451
Mailing address
6746 HERITAGE DR, POPLAR BLUFF, MO 63901-8659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024035972
MO
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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