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1215918503
VINCENT D MALLORY
PINEVILLE, LA
NPI
1215918503
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Professional Name
VINCENT D MALLORY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 015979)
Enumeration Date
2005-11-14
Last Update Date
2023-10-24
Business Address
Dr. VINCENT D MALLORY MD
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-466-2106
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Mailing Address
Dr. VINCENT D MALLORY MD
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-466-2106
Copy
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