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1144628124
MARK MALLORY
LUBBOCK, TX
NPI
1144628124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- MARK MALLORY
1628 19TH ST
LUBBOCK, TX 79401-4832
Phone number: 806-219-0500
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Mailing Address
-- MARK MALLORY
1628 19TH ST
LUBBOCK, TX 79401-4832
Phone number: 806-219-0500
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