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1013115955
MELANIE R REYNOLDS
SPRINGFIELD, IL
NPI
1013115955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041304030)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- MELANIE R REYNOLDS FNP
3132 OLD JACKSONVILLE RD SUITE 200
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0730
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Mailing Address
-- MELANIE R REYNOLDS FNP
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368
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