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1417242587
MARY C LALLY
DECORAH, IA
NPI
1417242587
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Former Name
MARY C BARAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 42083)
Enumeration Date
2011-06-16
Last Update Date
2014-11-06
Business Address
-- MARY C LALLY BMBCh
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-2911
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Mailing Address
-- MARY C LALLY BMBCh
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-2911
Copy
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