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1033486147
MELANIE ROSE TIDWELL
DILLINGHAM, AK
NPI
1033486147
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Other Name
MELANIE ROSE SKONBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
-- MELANIE ROSE TIDWELL
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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Mailing Address
-- MELANIE ROSE TIDWELL
P.O. BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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