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1134957111
MALLORY NICOLE SACCARO
SHREVEPORT, LA
NPI
1134957111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 1070285)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
MALLORY NICOLE SACCARO RN
1800 LINE AVE
SHREVEPORT, LA 71101-4612
Phone number: 318-677-3100
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Mailing Address
MALLORY NICOLE SACCARO RN
3907 BALTIMORE AVE
SHREVEPORT, LA 71106-1007
Phone number:
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