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1407849318
BONNIE E MALLARD
CLANTON, AL
NPI
1407849318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-BO9-TA-693)
Enumeration Date
2005-08-25
Last Update Date
2007-08-06
Business Address
-- BONNIE E MALLARD OD
1415 7TH ST S
CLANTON, AL 35045-3746
Phone number: 205-755-7114
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Mailing Address
-- BONNIE E MALLARD OD
826 SAVANNAH LN
CALERA, AL 35040-5553
Phone number: 205-835-1320
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