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1053730960
MALLORY ANNE LARA
DALLAS, TX
NPI
1053730960
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Former Name
MALLORY A DUNCAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX S3545)
Enumeration Date
2014-04-08
Last Update Date
2023-06-27
Business Address
MALLORY ANNE LARA MD
17218 PRESTON RD STE 2000
DALLAS, TX 75252-4018
Phone number: 877-866-7123
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Mailing Address
MALLORY ANNE LARA MD
PO BOX 742712
ATLANTA, GA 30374-2712
Phone number: 877-866-7123
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