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1063407484
JOHN P MELGAARD
COEUR D ALENE, ID
NPI
1063407484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA82)
Enumeration Date
2005-09-12
Last Update Date
2007-07-08
Business Address
-- JOHN P MELGAARD P.A.
914 W IRONWOOD DR
COEUR D ALENE, ID 83814-4927
Phone number: 208-765-5922
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Mailing Address
-- JOHN P MELGAARD P.A.
914 W IRONWOOD DR
COEUR D ALENE, ID 83814-4927
Phone number: 208-765-5922
Copy
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