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MS. LAURA LYNN MALLETT M.S., R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1770767717

Individual Registrant:
MS. LAURA LYNN MALLETT M.S., R.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
34 JACKSON RD  VILONIA, AR 72173-9646 US
Tel: 501-581-1268  Fax: --

Contact information for business:
34 JACKSON RD  VILONIA, AR 72173-9646 US
Tel: 501-581-1268  Fax: --

Registration Information:
NPI: 1770767717
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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