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1467565267
TARA S. MALLETT
LUCEDALE, MS
NPI
1467565267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MS 13329)
Enumeration Date
2006-08-16
Last Update Date
2011-01-06
Business Address
Dr. TARA S. MALLETT D.O.
92 W. RATLIFF STREET
LUCEDALE, MS 39452-6537
Phone number: 601-947-8181
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Mailing Address
Dr. TARA S. MALLETT D.O.
PO BOX 1007
LUCEDALE, MS 39452-1007
Phone number: 601-947-8181
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