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1972054922
MALLORY LOU
OAKLAND GARDENS, NY
NPI
1972054922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 039980)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- MALLORY LOU DPT
5031 HORATIO PKWY
OAKLAND GARDENS, NY 11364-1524
Phone number: 347-515-6993
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Mailing Address
-- MALLORY LOU DPT
5031 HORATIO PKWY
OAKLAND GARDENS, NY 11364-1524
Phone number: 347-515-6993
Copy
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