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1730856204
MALLORY LASSALLE
NEW ORLEANS, LA
NPI
1730856204
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Former Name
MALLORY LEBLANC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: LA 221800)
Enumeration Date
2021-08-24
Last Update Date
2021-12-15
Business Address
Mrs. MALLORY LASSALLE NNP-BC
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5798
Phone number: 504-896-9418
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Mailing Address
Mrs. MALLORY LASSALLE NNP-BC
833 ROSA AVE
METAIRIE, LA 70005-2127
Phone number:
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