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1124499678
MALLORY JENKINS
HAMMOND, LA
NPI
1124499678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08421)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- MALLORY JENKINS NP
15790 PAUL VEGA MD DR
HAMMOND, LA 70403-1434
Phone number: 985-230-1682
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Mailing Address
-- MALLORY JENKINS NP
15790 PAUL VEGA MD DR
HAMMOND, LA 70403-1434
Phone number: 985-230-1682
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