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April W Mallette
Specialist in Iuka, Mississippi
NPI 1265579684

April W Mallette is a Specialist based in Iuka, MS. April W Mallette practices in Iuka, MS. The NPI Number for April W Mallette is 1265579684 and holds a License No. PT3979 (Mississippi).

The current practice location address for April W Mallette is 503 Constitution Dr, Iuka, MS and can be reached out via phone at 662-424-9500 and via fax at 662-424-9592.

Location: 503 Constitution Dr, Iuka, MS, 38852-8201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265579684
Provider Name
April W Mallette
Credential
Provider Entity Type
Individual
Gender
Female
Address
503 Constitution Dr, Iuka, MS, 38852-8201
Phone Number
662-424-9500
Fax Number
662-424-9592
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00654282 05 MS
institution
Provider Business Practice Location Address Details
Address
503 Constitution Dr
City
Iuka
State
Mississippi
Zip
38852-8201
Phone Number
662-424-9500
Fax Number
662-424-9592
person
Provider Business Mailing Address Details
Address
503 Constitution Dr
City
Iuka
State
Mississippi
Zip
38852-8201
Phone Number
662-424-9500
Fax Number
662-424-9592
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT3979 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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