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1124528997
SHAWNTAE RENEA MELVIN
BRANDON, MS
NPI
1124528997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902508)
Enumeration Date
2018-02-18
Last Update Date
2018-02-18
Business Address
Mrs. SHAWNTAE RENEA MELVIN FNP
513 ETERNAL CT
BRANDON, MS 39042-4430
Phone number: 601-706-4671
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Mailing Address
Mrs. SHAWNTAE RENEA MELVIN FNP
513 ETERNAL CT
BRANDON, MS 39042-4430
Phone number: 601-706-4671
Copy
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