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Chase William Mallory
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1275275380

Chase William Mallory is a Student in an Organized Health Care Education/Training Program based in Gainesville, FL. Chase William Mallory practices in Gainesville, FL. The NPI Number for Chase William Mallory is 1275275380 and holds a License No. (Florida).

The current practice location address for Chase William Mallory is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-273-8634 and via fax at 352-273-8604.

Location: 1600 Sw Archer Rd, Gainesville, FL, 32610-3003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275275380
Provider Name
Chase William Mallory
Credential
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd, Gainesville, FL, 32610-3003
Phone Number
352-273-8634
Fax Number
352-273-8604
Provider Enumeration Date
04/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-273-8634
Fax Number
352-273-8604
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-273-8634
Fax Number
352-273-8604
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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