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1023651965
MELISSA ELIZABETH MALCOLM
HOMER, AK
NPI
1023651965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 119695)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
Mrs. MELISSA ELIZABETH MALCOLM PTA
4107 HOHE AVE
HOMER, AK 99603
Phone number: 907-235-0687
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Mailing Address
Mrs. MELISSA ELIZABETH MALCOLM PTA
4107 HOHE AVE
HOMER, AK 99603
Phone number: 907-235-0687
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