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1659786267
MALLORY JANE KELLY
BOSSIER CITY, LA
NPI
1659786267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7108)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- MALLORY JANE KELLY
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-746-7466
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Mailing Address
-- MALLORY JANE KELLY
2415 BENTON RD
BOSSIER CITY, LA 71111-2303
Phone number: 318-393-2681
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