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1972917482
MALLORY ANNING
RANTOUL, IL
NPI
1972917482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242002917)
Enumeration Date
2014-06-12
Last Update Date
2018-05-09
Business Address
MALLORY ANNING M.S. CCC-SLP
400 E WABASH AVE
RANTOUL, IL 61866-3013
Phone number: 217-893-5400
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Mailing Address
MALLORY ANNING M.S. CCC-SLP
400 E WABASH AVE
RANTOUL, IL 61866-3013
Phone number: 217-893-5400
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