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1669906301
MALLORY GAYLE PRUDEN
WEST MONROE, LA
NPI
1669906301
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Former Name
MALLORY GAYLE DEBNAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6773)
Enumeration Date
2017-04-19
Last Update Date
2022-06-13
Business Address
Dr. MALLORY GAYLE PRUDEN D.D.S.
135 LANDREAUX DR
WEST MONROE, LA 71291-1509
Phone number: 318-355-8166
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Mailing Address
Dr. MALLORY GAYLE PRUDEN D.D.S.
135 LANDREAUX DR
WEST MONROE, LA 71291-1509
Phone number: 318-355-8166
Copy
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