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Individual

MALLORY ANN DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1813 ROUND ROCK CIR, SULPHUR SPRINGS, TX 75482-4746
(903) 439-7957
Mailing address
1813 ROUND ROCK CIR, SULPHUR SPRINGS, TX 75482-4746

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213679
TX

Other

Enumeration date
08/10/2018
Last updated
08/10/2018
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