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1477888303
MALLORY MARIE BONIFAS
LAKELAND, FL
NPI
1477888303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SZ4193)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- MALLORY MARIE BONIFAS MA, CF SLP
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
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Mailing Address
-- MALLORY MARIE BONIFAS MA, CF SLP
2130 MORGAN WIELAND LANE APT 304
LAKELAND, FL 33813
Phone number: 419-302-2878
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