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1083495501
MELINDA RENEE LONG
FLORISSANT, MO
NPI
1083495501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
MELINDA RENEE LONG
6433 TIDE WATER DR
FLORISSANT, MO 63033-4938
Phone number: 314-368-4302
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Mailing Address
MELINDA RENEE LONG
6433 TIDE WATER DR
FLORISSANT, MO 63033-4938
Phone number: 314-368-4302
Copy
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