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1205266525
MALLORY JACKSON
BATON ROUGE, LA
NPI
1205266525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2013-11-22
Last Update Date
2024-08-20
Business Address
MALLORY JACKSON LOTR
7784 INNOVATION PARK DR
BATON ROUGE, LA 70820-7006
Phone number: 225-343-4232
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Mailing Address
MALLORY JACKSON LOTR
7784 INNOVATION PARK DR
BATON ROUGE, LA 70820-7006
Phone number: 225-343-4232
Copy
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