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1003882978
MELODIE M ICASIANO
TACOMA, WA
NPI
1003882978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WA MD00042886)
Enumeration Date
2006-02-28
Last Update Date
2016-04-22
Business Address
Dr. MELODIE M ICASIANO MD
MADIGAN ARMY MEDICAL CENTER BLDG 9040 FITZSIMMONS DR.
TACOMA, WA 98431-0001
Phone number: 253-968-1740
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Mailing Address
Dr. MELODIE M ICASIANO MD
100 LANCASTER AVE MOB EAST SUITE 158
WYNNEWOOD, PA 19096-3427
Phone number: 610-649-2126
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