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1952945461
LAURA MICHELLE MALLORY
TAMPA, FL
NPI
1952945461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
LAURA MICHELLE MALLORY
13200 MCCORMICK DR
TAMPA, FL 33626-3010
Phone number: 813-814-5971
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Mailing Address
LAURA MICHELLE MALLORY
12760 WESTWOOD LAKES BLVD
TAMPA, FL 33626-2345
Phone number: 813-814-5971
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