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1518477363
MALLORY LARGE
CHICAGO, IL
NPI
1518477363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.012244)
Enumeration Date
2017-10-06
Last Update Date
2017-10-06
Business Address
MALLORY LARGE
11053 S MILLARD AVE
CHICAGO, IL 60655-3327
Phone number: 773-253-9856
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Mailing Address
MALLORY LARGE
9049 FAIRWAY DR
ORLAND PARK, IL 60462-2717
Phone number:
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