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1134879513
AMANDA MCMELLON
FORT SMITH, AR
NPI
1134879513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
AMANDA MCMELLON DO
612 S 12TH ST
FORT SMITH, AR 72901-4702
Phone number: 479-785-2431
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Mailing Address
AMANDA MCMELLON DO
612 S 12TH ST
FORT SMITH, AR 72901-4702
Phone number: 479-785-2431
Copy
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