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1124594171
MALLARIE TOMS
RUSTON, LA
NPI
1124594171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP10037)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
MALLARIE TOMS NP
1809 NORTHPOINTE LN STE 102
RUSTON, LA 71270-3852
Phone number: 318-255-3762
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Mailing Address
MALLARIE TOMS NP
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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