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1770164816
MALLORY M MCKERNAN
BATON ROUGE, LA
NPI
1770164816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 218572)
Enumeration Date
2021-04-20
Last Update Date
2022-08-10
Business Address
MALLORY M MCKERNAN
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-214-6438
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Mailing Address
MALLORY M MCKERNAN
7777 HENNESSY BLVD STE 301
BATON ROUGE, LA 70808-0319
Phone number:
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